Organization
BAY AREA NEUROPSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAMAR J INGULLI PSY.D. (CEO/NEUROPSYCHOLOGIST)
(813) 381-5200
Entity
Organization
Contact information
Practice address
2919 W SWANN AVE STE 201, TAMPA, FL 33609-4050
(813) 381-5200
(813) 381-5200
Mailing address
2919 W SWANN AVE STE 201, TAMPA, FL 33609-4050
(813) 381-5200
(813) 381-5200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
Other
Enumeration date
01/24/2013
Last updated
10/25/2021
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