Doctor Name: | ANA ALONSO |
NPI Number: | 1003285503 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | S.S.P. |
License Number: | SS1097 |
Business Practice Address: | 2909 W Bay To Bay Blvd Suite 200 Tampa, FL - 336298100 |
Business Phone Number: | 8133815200 |
Business Fax Number: | |
Mailing Address: | 2118 W Ivy St, TAMPA |
State: | FL |
Postal Code: | 336071622 |
Phone Number: | 8132639636 |
Fax Number: | |
NPI Enumeration Date: | 09/15/2015 |
NPI Last Update Date: | 09/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | SS1097 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |