Individual
MICHAEL O'GRADY STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
10770 N 46TH ST, JAMES A. HALEY VETERANS' HOSPITAL (MHC), TAMPA, FL 33617-3442
(813) 631-2601
Mailing address
10770 N 46TH ST, JAMES A. HALEY VETERANS' HOSPITAL (MHC), TAMPA, FL 33617-3442
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3741
NC
103TC0700X
Clinical Psychologist
PY 00003811
WA
Other
Enumeration date
04/18/2007
Last updated
10/22/2015
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