Individual
ABERE S CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7401 4TH ST N STE 300, ST PETERSBURG, FL 33702-5407
(253) 355-8414
Mailing address
1015 WALTHAM AVE, ORLANDO, FL 32809-4247
(235) 355-8414
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY11063
FL
Other
Enumeration date
07/11/2021
Last updated
07/09/2025
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