Organization
FUNDAMENTAL PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA STERANKO PSY.D. (OWNER/FOUNDER)
(941) 275-9183
Entity
Organization
Contact information
Practice address
1505 TAMIAMI TRL S STE 402, VENICE, FL 34285-5563
(941) 275-9183
Mailing address
1505 TAMIAMI TRL S STE 402, VENICE, FL 34285-5563
(941) 275-9183
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023436987
—
FL
05
—
1497986467
—
FL
Enumeration date
04/11/2019
Last updated
06/11/2019
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