| Plaza Therapy Associates, Inc. | |
|
5201 W Kennedy Blvd Suite 620 Tampa FL 33609-1845 | |
| (813) 281-9383 | |
| (813) 349-1766 |
| Full Name | Plaza Therapy Associates, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5201 W Kennedy Blvd, Tampa, Florida |
| Authorized Official Name and Position | Daniel Ronald Lerom (PRESIDENT) |
| Authorized Official Contact | 8132819383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plaza Therapy Associates, Inc. 5201 W Kennedy Blvd Suite 620 Tampa FL 33609-1845 Ph: (813) 281-9383 | Plaza Therapy Associates, Inc. 5201 W Kennedy Blvd Suite 620 Tampa FL 33609-1845 Ph: (813) 281-9383 |
| NPI Number | 1184849325 |
|---|---|
| Provider Enumeration Date | 04/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184849325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY0004407 (Florida) | Primary |
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