Individual
SHATHA ATIYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4700 MILLENIA BLVD STE 500, ORLANDO, FL 32839-6019
(813) 467-6111
Mailing address
5510 N HESPERIDES ST, TAMPA, FL 33614-5414
(813) 467-6111
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7737
FL
Other
Enumeration date
06/10/2008
Last updated
01/26/2024
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