Guy L Tewksbury, Ph.D. PA
Psychologist, Clinical in Largo, FL. Organization (NPI-2).
NPI number1982978193
StatusActive
Last updated in NPPESMar 6, 2012
Details
- NPI
- 1982978193
- Entity type
- Organization (NPI-2)
- Legal business name
- Guy L Tewksbury, Ph.D. PA
- Organization subpart
- No
- Enumeration date
- Mar 6, 2012
- Last updated
- Mar 6, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PY4179 | FL | Yes |
Practice location
11590 Seminole BlvdLargo, FL 33778-3204
Phone 727-375-5924
Mailing address
50 8th Ave Sw# 2006
Largo, FL 33770-3638
Phone 727-375-5924
Authorized official
Guy L Tewksbury
President
7273755924
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