Individual
TERESA IRENE BOBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10000 BAY PINES BLVD, BAY PINES VA HEALTHCARE SYSTEM, BAY PINES, FL 33744-8200
(727) 398-6661
Mailing address
10000 BAY PINES BLVD, BAY PINES VA HEALTHCARE SYSTEM, BAY PINES, FL 33744-8200
(727) 398-6661
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
4789
AZ
103TH0004X
Health Psychologist
Primary
4789
AZ
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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