Individual
JESSICA THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
JAMES HALEY VA OUTPATIENT MENTAL HEALTH SERVICE, 8501 TEMPLE TERRACE HWY, TAMPA, FL 33637
(813) 631-7123
Mailing address
JAMES HALEY VA MENTAL HEALTH OUTPATIENT CLINIC, 8501 TEMPLE TERRACE HWY, TAMPA, FL 33637
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2022-1070
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
03/30/2020
Last updated
05/31/2024
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