| Timothy Tribiano Phd Pa | |
|
2401 W Bay Dr Bldg 100 Ste 117 Largo FL 33770-4900 | |
| (727) 776-1968 | |
| (727) 289-2301 |
| Full Name | Timothy Tribiano Phd Pa |
|---|---|
| Speciality | Psychologist |
| Location | 2401 W Bay Dr, Largo, Florida |
| Authorized Official Name and Position | Timothy Tribiano (OWNER) |
| Authorized Official Contact | 7277761968 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Tribiano Phd Pa 2401 W Bay Dr Bldg 100 Ste 117 Largo FL 33770-4900 Ph: (727) 776-1968 | Timothy Tribiano Phd Pa 2401 W Bay Dr Bldg 100 Ste 117 Largo FL 33770-4900 Ph: (727) 776-1968 |
| NPI Number | 1851451744 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 06/21/2018 |
| Medicare PECOS PAC ID | 0941302632 |
|---|---|
| Medicare Enrollment ID | O20070507000437 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851451744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY6773 (Florida) | Primary |
| Provider Name | Timothy Nicholas Tribiano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407874696 PECOS PAC ID: 2961496401 Enrollment ID: I20070517000321 |
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