Individual
DR. ELSA MARIE OBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
710 OAKFIELD DR, SUITE 153, BRANDON, FL 33511-4938
(813) 654-0503
Mailing address
28844 RAINDANCE AVE, WESLEY CHAPEL, FL 33543-6422
(787) 361-4173
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3479
PR
103T00000X
Psychologist
Primary
PY 9486
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3479
LICENCIA
PR
01
—
PY 9486
LICENSED PSYCHOLOGIST
FL
Enumeration date
02/03/2010
Last updated
02/15/2016
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