Individual
RICHARD LEE SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
111 2ND AVE NE, SUITE 908, ST PETERSBURG, FL 33701
(727) 438-4237
(727) 982-2454
Mailing address
111 2ND AVE NE, SUITE 908, ST PETERSBURG, FL 33701
(727) 438-4237
(727) 982-2454
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0773
NM
103T00000X
Psychologist
2906
CO
103T00000X
Psychologist
Primary
PY4438
FL
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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