Individual
DR. JOSEPH B CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1700 N MCMULLEN BOOTH RD, CLEARWATER, FL 33759
(859) 916-2486
Mailing address
1700 N MCMULLEN BOOTH RD STE C1, CLEARWATER, FL 33759-2129
(859) 916-2486
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0510
KY
103TC0700X
Clinical Psychologist
Primary
PY9879
FL
103TC1900X
Counseling Psychologist
165058
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30615058
—
KY
Enumeration date
01/24/2007
Last updated
08/13/2018
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