Organization
GATEWAY PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL MISSORY PSY.D. (OWNER)
(737) 619-4477
Entity
Organization
Contact information
Practice address
11300 4TH ST N, SUITE 115, ST PETERSBURG, FL 33716-2918
(727) 619-4477
(727) 258-2348
Mailing address
11300 4TH ST N, SUITE 115, ST PETERSBURG, FL 33716-2918
(727) 619-4477
(727) 258-2348
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 8375
FL
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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