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NPI Code Detail

MEDICARE: DR. JOHN JACOB HARTMAN PH.D.

MEDICARE:  DR. JOHN JACOB HARTMAN  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TP0814XPsychoanalysis PsychologistPY5634FL

General Provider Information

NPI Number : 1194168880
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN JACOB HARTMAN PH.D.
Provider Business Mailing Address
First Line : 300 S HYDE PARK AVE
Second Line : SUITE 150
City : TAMPA
State : FL
Zip : 33606-2286
Country : US
Telephone Number : 813-258-4607
Fax Number : 813-258-4647
Provider Business Practice Location Address
First Line : 300 S HYDE PARK AVE
Second Line : SUITE 150
City : TAMPA
State : FL
Zip : 33606-2286
Country : US
Telephone Number : 813-258-4607
Fax Number : 813-258-4647
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2013
Last Update Date : 04/11/2013

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Directions to “ DR. JOHN JACOB HARTMAN PH.D.” Practice Location

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