Individual
JONATHAN SOBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
4230 S MACDILL AVE, TAMPA, FL 33611-1901
(813) 444-9163
(813) 444-9163
Mailing address
2934 W KNIGHTS AVE, TAMPA, FL 33611-1622
(813) 444-9163
(813) 444-9163
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 8611
FL
103TC1900X
Counseling Psychologist
PY 8611
FL
Other
Enumeration date
08/27/2006
Last updated
03/28/2013
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