Organization
LYNDA GURVITZ PHD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNDA IRENE GURVITZ PH.D. (PRESIDENT)
(727) 585-7164
Entity
Organization
Contact information
Practice address
801 W BAY DR, SUITE 607, LARGO, FL 33770-3269
(727) 585-7164
(727) 585-0894
Mailing address
801 W BAY DR, SUITE 607, LARGO, FL 33770-3269
(727) 585-7164
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1186976
AMERIGROUP
FL
01
—
75601
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
02/05/2009
Last updated
04/27/2009
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