Individual
ANTHONY BOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7501 OKEECHOBEE CT, TEMPLE TERRACE, FL 33637-7345
(330) 573-4722
Mailing address
7501 OKEECHOBEE CT, TEMPLE TERRACE, FL 33637-7345
(330) 573-4722
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
SS1069
FL
103TS0200X
School Psychologist
Primary
SS1069
FL
Other
Enumeration date
02/01/2011
Last updated
08/26/2014
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