| Teresa Irene Bobo, | |
|
10000 Bay Pines Blvd, Bay Pines Va Healthcare System, Bay Pines, FL 33744-8200 | |
| (727) 398-6661 | |
| Not Available |
| Full Name | Teresa Irene Bobo |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Health |
| Location | 10000 Bay Pines Blvd, Bay Pines, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437695202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 4789 (Arizona) | Secondary |
| 103TH0004X | Psychologist - Health | 4789 (Arizona) | Primary |
| Entity Name | Refresh Canopy Cove, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730661752 PECOS PAC ID: 3779822119 Enrollment ID: O20190304000354 |
| Entity Name | Holistic Integrative Counseling Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477171965 PECOS PAC ID: 9739533472 Enrollment ID: O20230928001623 |
| Mailing Address | Practice Location Address |
|---|---|
| Teresa Irene Bobo, 10000 Bay Pines Blvd, Bay Pines Va Healthcare System, Bay Pines, FL 33744-8200 Ph: (727) 398-6661 | Teresa Irene Bobo, 10000 Bay Pines Blvd, Bay Pines Va Healthcare System, Bay Pines, FL 33744-8200 Ph: (727) 398-6661 |
Dr. Daniel Philip, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10000 Bay Pines Blvd, Satp, Bay Pines, FL 33744 Phone: 727-398-6661 | |
James Lamar Lee, PHD. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10000 Bay Pines Blvd, Bay Pines, FL 33744 Phone: 727-398-6661 | |
Rodrigo Velezmoro, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10000 Bay Pines Blvd, Bay Pines, FL 33744 Phone: 727-398-6661 | |
Dr. Stephanie Hodges, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10000 Bay Pines Blvd, Bay Pines, FL 33744 Phone: 727-398-6661 | |
Dr. Mark Jacob Coury, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10000 Bay Pines Blvd, Bay Pines, FL 33744 Phone: 727-398-6661 | |
Dr. Lawrence J Miller, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 10000 Bay Pines Blvd, Bay Pines, FL 33744 Phone: 727-398-6661 Fax: 727-398-9569 | |
Dr. Kelly A Gorman, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10,000 Bay Pines Boulevard, Bay Pines, FL 33744 Phone: 727-398-6661 |