Organization
SHIP PORT PSYCH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KONDAS (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
5637 MARINE PKWY, NEW PORT RICHEY, FL 34652-4316
(727) 834-5744
(727) 834-5717
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(469) 401-2386
(214) 712-2444
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
—
—
Other
Enumeration date
04/08/2010
Last updated
01/27/2021
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