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Vincent P Skotko Phd

Psychologist, Cognitive & Behavioral in Tampa, FL. Organization (NPI-2).

NPI number1629489331
StatusActive
Last updated in NPPESMay 15, 2014

Details

NPI
1629489331
Entity type
Organization (NPI-2)
Legal business name
Vincent P Skotko Phd
Organization subpart
No
Enumeration date
May 15, 2014
Last updated
May 15, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TB0200X Psychologist, Cognitive & BehavioralPY2791FLYes

Practice location

722 W Dr Martin Luther King Jr Blvd
Tampa, FL 33603-3133

Phone 813-224-0249 · Fax 813-228-0192

Mailing address

722 W Dr Martin Luther King Jr Blvd
Tampa, FL 33603-3133

Phone 813-224-0249 · Fax 813-228-0192

Authorized official

Rebecca Brawley
Office Manager
8132240249

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