Individual
MICHAEL D. EASTRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
275 96TH AVE N, SUITE 3, SAINT PETERSBURG, FL 33702-2504
(727) 579-0080
(727) 578-2542
Mailing address
275 96TH AVE N, SUITE 3, SAINT PETERSBURG, FL 33702-2504
(727) 579-0080
(727) 578-2542
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY0003431
FL
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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