Organization · Type 2 NPI

Lisa M. Petrica-Moser, Ph.d. Inc.

Adult Mental Health Clinic/Center · Tampa, FL

NPI number 1104362979 Active

Practice location

2727 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6383

Call (727) 244-5975 Map

Mailing address

1790 Captiva Dr
Oldsmar, FL 34677-5220

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center Primary 261QM0850XPY5976 (FL)

Adult Mental Health Clinic/Center: 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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About NPI 1104362979

Lisa M. Petrica-Moser, Ph.d. Inc.'s National Provider Identifier is 1104362979, issued on Jan 17, 2017. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Tampa, FL. The record was last updated on Jan 17, 2017.