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Organization

JOHN P MCDONOUGH III

Active
Other names
Geriatric Psychological Specialists
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN P. MCDONOUGH III PH.D. (PRESIDENT)
(813) 495-4773
Entity
Organization

Contact information

Practice address
2223 SHADEHILL CT, TAMPA, FL 33612-5024
(813) 495-4773
Mailing address
2223 SHADEHILL CT, TAMPA, FL 33612-5024
(813) 495-4773

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
207QG0300X
Geriatric Medicine (Family Medicine) Physician
2084P0800X
Psychiatry Physician
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
06/08/2006
Last updated
07/31/2013
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