Individual
DR. GREGORY FIRESTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4228 FAIRWAY RUN, TAMPA, FL 33618-8642
(813) 494-7655
Mailing address
4228 FAIRWAY RUN, TAMPA, FL 33618-8642
(813) 494-7655
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY3033
FL
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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