Organization
DR. MARYAM BEHDARVANDI
Active
Organization
DR. MARYAM BEHDARVANDI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYAM BEHDARVANDI PHD (PROVIDER)
(813) 340-0901
Entity
Organization
Contact information
Practice address
2908 W WATERS AVE STE 101, TAMPA, FL 33614-1874
(813) 340-0901
Mailing address
5005 DERRY WAY, TAMPA, FL 33647-1091
(813) 340-0901
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
PY6701
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY6701
LICENSED PSYCHOLOGIST
FL
Enumeration date
07/24/2015
Last updated
07/24/2015
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