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Dr. Ivan Gabriel Rodriguez, PSYD
Clinical Neuropsychologist in Tampa, Florida
NPI 1396203956

Ivan Gabriel Rodriguez is a Clinical Neuropsychologist based in Tampa, FL. Ivan Gabriel Rodriguez practices in Tampa, FL and has the professional credentials of PSYD. The NPI Number for Ivan Gabriel Rodriguez is 1396203956 and holds a License No. PY11209 (Florida).

The current practice location address for Ivan Gabriel Rodriguez is 14499 N Dale Mabry Hwy Ste 130-S, Tampa, FL and can be reached out via phone at 813-530-1414.

Location: 14499 N Dale Mabry Hwy Ste 130-S, Tampa, FL, 33618-2078
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396203956
Provider Name
Ivan Gabriel Rodriguez
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
14499 N Dale Mabry Hwy Ste 130-S, Tampa, FL, 33618-2078
Phone Number
813-530-1414
Fax Number
Provider Enumeration Date
03/03/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A3858 01 FL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
14499 N Dale Mabry Hwy Ste 130-S
City
Tampa
State
Florida
Zip
33618-2078
Phone Number
813-530-1414
Fax Number
person
Provider Business Mailing Address Details
Address
14499 N Dale Mabry Hwy Ste 130-S
City
Tampa
State
Florida
Zip
33618-2078
Phone Number
813-530-1414
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
103G00000X
License No.
PY11209 (Florida)
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PY11209 (Florida)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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