| Holistic Psychology Services, Llc | |
|
4100 W Kennedy Blvd Suite 212 Tampa FL 33609-2288 | |
| (312) 316-1391 | |
| (813) 225-5678 |
| Full Name | Holistic Psychology Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 4100 W Kennedy Blvd, Tampa, Florida |
| Authorized Official Name and Position | Shana Stowitzky (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3123161391 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Psychology Services, Llc 4100 W Kennedy Blvd Suite 212 Tampa FL 33609-2288 Ph: (312) 316-1391 | Holistic Psychology Services, Llc 4100 W Kennedy Blvd Suite 212 Tampa FL 33609-2288 Ph: (312) 316-1391 |
| NPI Number | 1801286752 |
|---|---|
| Provider Enumeration Date | 01/30/2015 |
| Last Update Date | 01/30/2015 |
| Medicare PECOS PAC ID | 3577889567 |
|---|---|
| Medicare Enrollment ID | O20150310002378 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801286752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 8475 (Florida) | Primary |
| Provider Name | Shana L Stowitzky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376816074 PECOS PAC ID: 0244492593 Enrollment ID: I20120502000282 |
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