Individual
DR. BRIAN JAMES LETOURNEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 844-5979
Mailing address
4810 BAY HERON PL APT 1005, TAMPA, FL 33616-2924
(603) 930-5783
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TR0400X
Rehabilitation Psychologist
—
—
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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