Organization
CLINICAL PSYCHOLOGY PROFESSIONAL CENTER LLC
Active
Organization
CLINICAL PSYCHOLOGY PROFESSIONAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIELA CINTIA LODEIRO PSY.D. (SOLE PROPRIETOR)
(813) 334-6222
Entity
Organization
Contact information
Practice address
738 N MACEWEN DR, OSPREY, FL 34229-3200
(813) 334-6222
(941) 966-0887
Mailing address
738 N MACEWEN DR, OSPREY, FL 34229-3200
(813) 334-6222
(941) 966-0887
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
PY8074
FL
Other
Enumeration date
06/08/2010
Last updated
07/07/2010
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