Individual
EBONY SADE VINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5016 W CYPRESS ST, TAMPA, FL 33607-3804
(813) 678-2373
Mailing address
7968 CAMDEN WOODS DR, TAMPA, FL 33619-7000
(850) 567-2888
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005288
VA
Other
Enumeration date
11/03/2016
Last updated
07/14/2020
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