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Organization

ISRA SALEH-MOHD, PSY.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ISRA SALEH-MOHD PSY.D. (OWNER)
(813) 541-3372
Entity
Organization

Contact information

Practice address
411 LITHIA PINECREST RD, BRANDON, FL 33511-6138
(813) 541-3372
Mailing address
1327 GARDEN STONE LN, BRANDON, FL 33510-2654
(813) 541-3372

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7588
FL

Other

Enumeration date
06/05/2014
Last updated
06/05/2014
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