institution
Lisa M. Petrica-moser, Ph.d. Inc.
Adult Mental Health Clinic/Center in Tampa, Florida
NPI 1104362979

Lisa M. Petrica-moser, Ph.d. Inc. is an Adult Mental Health Clinic/Center based in Oldsmar, FL and is specialized in Adult Mental Health. Lisa M. Petrica-moser, Ph.d. Inc. practices in Tampa, FL. The NPI Number for Lisa M. Petrica-moser, Ph.d. Inc. is 1104362979 and holds a License No. PY5976 (Florida).

The current practice location address for Lisa M. Petrica-moser, Ph.d. Inc. is 2727 W Dr Martin Luther King Jr Blvd, Tampa, FL and can be reached out via phone at 727-244-5975.

Location: 2727 W Dr Martin Luther King Jr Blvd, Tampa, FL, 34677-5220
institution
Provider Profile Details
NPI Number
1104362979
Provider Name
Lisa M. Petrica-moser, Ph.d. Inc.
Credential
Provider Entity Type
Organization
Address
2727 W Dr Martin Luther King Jr Blvd, Tampa, FL, 34677-5220
Phone Number
727-244-5975
Fax Number
Provider Enumeration Date
01/17/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2727 W Dr Martin Luther King Jr Blvd
City
State
Zip
33607-6383
Phone Number
727-244-5975
Fax Number
person
Provider Business Mailing Address Details
Address
2727 W Dr Martin Luther King Jr Blvd
City
State
Zip
33607-6383
Phone Number
727-244-5975
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
PY5976 (Florida)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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