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Individual

DANIEL RONALD LEROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
5201 W KENNEDY BLVD, SUITE 620, TAMPA, FL 33609-1845
(813) 281-9383
(813) 349-1766
Mailing address
5201 W KENNEDY BLVD, SUITE 620, TAMPA, FL 33609-1845
(813) 281-9383
(813) 349-1766

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0004407
FL

Other

Enumeration date
01/08/2007
Last updated
07/08/2007
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