| Susana Lozada-murray, Psy.d. Llc | |
|
4703 Alton Rd Tampa FL 33615-5001 | |
| (813) 679-6275 | |
| Not Available |
| Full Name | Susana Lozada-murray, Psy.d. Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4703 Alton Rd, Tampa, Florida |
| Authorized Official Name and Position | Susana Lozada-murray (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 8136796275 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susana Lozada-murray, Psy.d. Llc 4144 N Armenia Ave Suite 301 Tampa FL 33607-6400 Ph: (813) 875-0122 | Susana Lozada-murray, Psy.d. Llc 4703 Alton Rd Tampa FL 33615-5001 Ph: (813) 679-6275 |
| NPI Number | 1841628120 |
|---|---|
| Provider Enumeration Date | 10/23/2013 |
| Last Update Date | 10/23/2013 |
| Medicare PECOS PAC ID | 3476789918 |
|---|---|
| Medicare Enrollment ID | O20131112000169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841628120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | PY8820 (Florida) | Primary |
| Provider Name | Susana F Lozada-murray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740613520 PECOS PAC ID: 8820224363 Enrollment ID: I20131112000193 |
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