Organization · Type 2 NPI

Metamorphosis Life Revitalizing Center

Clinical Psychologist · Temple Terrace, FL

NPI number 1356755060 Active

Practice location

11700 N 58th St, Suite J
Temple Terrace, FL 33617-1666

Mailing address

8430 Montravail Cir, #313
Temple Terrace, FL 33637-3024

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPY8197 (FL)

Clinical Psychologist: 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 discip…

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About NPI 1356755060

Metamorphosis Life Revitalizing Center's National Provider Identifier is 1356755060, issued on Jun 20, 2014. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Temple Terrace, FL. The record was last updated on Jun 20, 2014.