Organization
GULFSIDE PSYCHOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN K MCDERMOTT OWNER (PRESIDENT)
(941) 243-3005
Entity
Organization
Contact information
Practice address
3902 E STATE ROAD 64, BRADENTON, FL 34208-9059
(941) 243-3005
(941) 739-9358
Mailing address
5614 CLOVERLEAF RUN, BRADENTON, FL 34211-4048
(860) 250-4488
(941) 739-9358
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
08/05/2020
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