| Friedman & Rodriguez Psychology Associates Pa | |
|
12167 W. Linebaugh Ave. Tampa FL 33626 | |
| (813) 386-6800 | |
| (813) 891-1311 |
| Full Name | Friedman & Rodriguez Psychology Associates Pa |
|---|---|
| Speciality | Psychologist |
| Location | 12167 W. Linebaugh Ave., Tampa, Florida |
| Authorized Official Name and Position | Andrea L Friedman (MANAGER) |
| Authorized Official Contact | 8133866800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Friedman & Rodriguez Psychology Associates Pa 12167 W. Linebaugh Ave. Tampa FL 33626 Ph: (813) 386-6800 | Friedman & Rodriguez Psychology Associates Pa 12167 W. Linebaugh Ave. Tampa FL 33626 Ph: (813) 386-6800 |
| NPI Number | 1851502603 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 05/07/2013 |
| Medicare PECOS PAC ID | 8426143918 |
|---|---|
| Medicare Enrollment ID | O20070928000064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851502603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0100X | Psychologist - Health Service | (* (Not Available)) | Primary |
| Provider Name | Andrea L Friedman |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1902810153 PECOS PAC ID: 8527961572 Enrollment ID: I20040128000906 |
| Provider Name | Mario S Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962421461 PECOS PAC ID: 1052304185 Enrollment ID: I20040525001606 |
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