Individual
JILL N/A POORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5046 73RD AVE, PINELLAS PARK, FL 33781-4350
(727) 541-5436
(727) 541-5484
Mailing address
5046 73RD AVE, PINELLAS PARK, FL 33781-4350
(727) 541-5436
(727) 541-5484
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4680
FL
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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