Organization
BAY AREA PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARITA R SHAWCHUCK PHD (PRESIDENT)
(727) 835-8131
Entity
Organization
Contact information
Practice address
13104 CIMARRON CIR N, LARGO, FL 33774-4114
(727) 835-8131
Mailing address
13104 CIMARRON CIR N, LARGO, FL 33774-4114
(727) 835-8131
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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