Individual
KATHRYN MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10000 BAY PINES BLVD, BAY PINES, FL 33744-8200
(727) 398-6661
Mailing address
10000 BAY PINES BLVD, BUILDING 100, WOMEN'S CLINIC, ROOM 4B-145B, BAY PINES, FL 33744-8200
(727) 398-6661
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6301015955
MI
103TC0700X
Clinical Psychologist
Primary
PY10220
FL
Other
Enumeration date
09/10/2014
Last updated
02/21/2019
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