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Organization

HOLISTIC PSYCHOLOGY SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHANA STOWITZKY (CLINICAL PSYCHOLOGIST)
(312) 316-1391
Entity
Organization

Contact information

Practice address
4100 W KENNEDY BLVD, SUITE 212, TAMPA, FL 33609-2288
(312) 316-1391
(813) 225-5678
Mailing address
4100 W KENNEDY BLVD, SUITE 212, TAMPA, FL 33609-2288
(312) 316-1391
(813) 225-5678

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8475
FL

Other

Enumeration date
01/30/2015
Last updated
01/30/2015
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