Organization
BEN C. GHOZALI, PSY.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEN GHOZALI PSY.D. (PRESIDENT)
(813) 215-8348
Entity
Organization
Contact information
Practice address
2843 ALT 19, PALM HARBOR, FL 34683-1926
(727) 772-0038
(727) 787-2384
Mailing address
2843 ALT 19, PALM HARBOR, FL 34683-1926
(727) 772-0038
(727) 787-2384
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6738
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73121
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
07/06/2009
Last updated
09/10/2024
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