Individual
KEILA ANIDXA ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
14100 58TH ST N, CLEARWATER, FL 33760-9900
(727) 824-8181
Mailing address
14100 58TH ST N, CLEARWATER, FL 33760-9900
(727) 824-8181
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY9705
FL
Other
Enumeration date
07/21/2017
Last updated
11/06/2023
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