Individual
KENDALL DELOATCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
111 S BOULEVARD, TAMPA, FL 33606-1901
(813) 956-0512
Mailing address
4709 W TAMBAY AVE, TAMPA, FL 33611-1109
(813) 956-0512
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
10351
FL
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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