Individual
JENNA C ELWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1100 CLEARWATER LARGO RD N, LARGO, FL 33770-4131
(813) 205-6372
Mailing address
9056 134TH WAY, SEMINOLE, FL 33776-2314
(813) 205-6372
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 8238
FL
Other
Enumeration date
03/07/2011
Last updated
03/07/2011
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