Behavioral Health Practitioner'S, INC.
Psychologist, Clinical in Largo, FL. Organization (NPI-2).
NPI number1194935775
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1194935775
- Entity type
- Organization (NPI-2)
- Legal business name
- Behavioral Health Practitioner'S, INC.
- Organization subpart
- No
- Enumeration date
- May 23, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PY2716 | FL | Yes |
Practice location
1301 Seminole BlvdB-112
Largo, FL 33770-8124
Phone 727-518-7294 · Fax 727-584-4937
Mailing address
1301 Seminole BlvdB-112
Largo, FL 33770-8124
Phone 727-518-7294 · Fax 727-584-4937
Authorized official
Gerard E Boutin
President
7275187294
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