| S Curtis Takagishi Phd Pa | |
|
13331 N 56th St Tampa FL 33617-1161 | |
| (813) 690-8506 | |
| Not Available |
| Full Name | S Curtis Takagishi Phd Pa |
|---|---|
| Speciality | Psychologist |
| Location | 13331 N 56th St, Tampa, Florida |
| Authorized Official Name and Position | Stanley Curtis Takagishi (PRESIDENT) |
| Authorized Official Contact | 8136908506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S Curtis Takagishi Phd Pa 10411 Lightner Bridge Dr Tampa FL 33626-1815 Ph: (813) 690-8506 | S Curtis Takagishi Phd Pa 13331 N 56th St Tampa FL 33617-1161 Ph: (813) 690-8506 |
| NPI Number | 1932133089 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 03/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932133089 | NPI | - | NPPES |
| AF879 | Other | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY6420 (Florida) | Primary |
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