| Angela Mcbride Phd Pa | |
|
2602 W Cypress St Tampa FL 33609-1723 | |
| (813) 350-9333 | |
| (813) 350-9666 |
| Full Name | Angela Mcbride Phd Pa |
|---|---|
| Speciality | Psychologist |
| Location | 2602 W Cypress St, Tampa, Florida |
| Authorized Official Name and Position | Angela M Mcbride (PRESIDENT) |
| Authorized Official Contact | 8137606709 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Mcbride Phd Pa 2602 W Cypress St Tampa FL 33609-1723 Ph: (813) 350-9333 | Angela Mcbride Phd Pa 2602 W Cypress St Tampa FL 33609-1723 Ph: (813) 350-9333 |
| NPI Number | 1295908010 |
|---|---|
| Provider Enumeration Date | 04/13/2008 |
| Last Update Date | 02/02/2009 |
| Medicare PECOS PAC ID | 3274552815 |
|---|---|
| Medicare Enrollment ID | O20051114000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295908010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY6803 (Florida) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY6803 (Florida) | Primary |
| Provider Name | Angela M. Mcbride |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093755399 PECOS PAC ID: 8123914900 Enrollment ID: I20040227000069 |
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