Individual
DR. DAVID KERSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
12512 BRUCE B DOWNS BLVD, NORTHSIDE MENTAL HEALTH CENTER, TAMPA, FL 33612-9209
(813) 977-8700
Mailing address
14540 CORTEZ BLVD STE 103, BORROKSVILLE VA CBOC, BROOKSVILLE, FL 34613-6001
(352) 597-8287
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY5531
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766487700
—
FL
Enumeration date
08/24/2006
Last updated
11/14/2013
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