Organization
TAMPA PALMS PSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN ANDREW WILSON PHD (OWNER)
(727) 239-5684
Entity
Organization
Contact information
Practice address
16203 HAMPTON TRACE CT, TAMPA, FL 33647-2745
(727) 239-5684
Mailing address
17401 COMMERCE PARK BLVD STE 103-0319, TAMPA, FL 33647-3501
(727) 239-5684
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2021
Last updated
09/12/2021
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