Organization
NEURO-REHAB PSYCHOLOGY GROUP OF TAMPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE B AYALA-FELICIANO PSYD (CLINICAL PSYCHOLOGIST)
(813) 992-7050
Entity
Organization
Contact information
Practice address
5421 BEAUMONT CENTER BLVD STE 650, TAMPA, FL 33634-5223
(787) 249-4600
Mailing address
4400 W SPRUCE ST, #105, TAMPA, FL 33607-4149
(787) 249-4600
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TF0000X
Family Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
—
Other
Enumeration date
07/10/2014
Last updated
08/18/2025
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