Individual
RISA THOMPSON RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, MH&BS 116B, TAMPA, FL 33612-4745
(813) 972-2000
(813) 903-4814
Mailing address
13000 BRUCE B DOWNS BLVD, MH&BS 116B, TAMPA, FL 33612-4745
(813) 972-2000
(813) 903-4814
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
40-010
MS
103TC0700X
Clinical Psychologist
40-010
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124390
—
MS
Enumeration date
01/09/2007
Last updated
08/17/2009
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