Individual
DR. AMANDA THALJI-RAITANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
840 BEACH DR NE, SAINT PETERSBURG, FL 33701-2012
(727) 543-3235
Mailing address
518 33RD AVE N, SAINT PETERSBURG, FL 33704-1218
(727) 543-3235
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY9857
FL
Other
Enumeration date
02/03/2014
Last updated
09/14/2021
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