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Organization

CLEARPOINT PSYCHOLOGY, LLC

Active
Other names
ClearPoint Psychology
Organization subpart
No

Provider details

NPI number
Authorized official
DAWN SUKSANONG PSYD (SOLE MEMBER)
(727) 388-9003
Entity
Organization

Contact information

Practice address
2201 CENTRAL AVE STE 300, ST PETERSBURG, FL 33713-8844
(727) 388-9003
Mailing address
2201 CENTRAL AVE STE 300, ST PETERSBURG, FL 33713-8844

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9286
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1265877930
NPPES
01
PY9286
FLORIDA BOARD OF PSYCHOLOGY
FL
Enumeration date
06/11/2018
Last updated
06/11/2018
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