Individual
DAVID J BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
10770 N 46TH ST BLDG E, TAMPA, FL 33617-3442
(813) 631-2583
(813) 631-3581
Mailing address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 816-7155
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
9894
FL
Other
Enumeration date
07/20/2017
Last updated
01/30/2026
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