Individual
DANIELLE MASON SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6543 GUNN HWY, TAMPA, FL 33625-4021
(813) 857-0009
Mailing address
6543 GUNN HWY, TAMPA, FL 33625-4021
(813) 857-0009
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7749
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74004
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/10/2008
Last updated
07/09/2012
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