Individual provider · Type 1 NPI

Michael D. Eastridge, PhD

Clinical Neuropsychologist · St. Petersburg, FL

NPI number 1720129539 Active

Practice location

275 96th Ave N, Suite 3
St. Petersburg, FL 33702-2504

Call (727) 579-0080 Map

Fax (727) 578-2542

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist Primary 103G00000XPY0003431 (FL)

Clinical Neuropsychologist: 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.

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About NPI 1720129539

Michael D. Eastridge, PhD's National Provider Identifier is 1720129539, issued on Feb 12, 2007. The primary taxonomy on file is Clinical Neuropsychologist (103G00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Jul 8, 2007.