| University Psychotherapy Group Pa | |
|
11700 N 58th St Suite C Tampa FL 33617-1692 | |
| (813) 980-3488 | |
| (813) 980-3647 |
| Full Name | University Psychotherapy Group Pa |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11700 N 58th St, Tampa, Florida |
| Authorized Official Name and Position | Joseph P Callan (DIRECTOR) |
| Authorized Official Contact | 8139803488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Psychotherapy Group Pa 11700 N 58th St Suite C Tampa FL 33617-1692 Ph: (813) 980-3488 | University Psychotherapy Group Pa 11700 N 58th St Suite C Tampa FL 33617-1692 Ph: (813) 980-3488 |
| NPI Number | 1942237177 |
|---|---|
| Provider Enumeration Date | 06/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942237177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW1785 (Florida) | Primary |
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