MEDICARE: ROB ALVES PSYD LP PA

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
1	103TC0700X	Clinical Psychologist	PY 8491	FL

General Provider Information

NPI Number	:	1538594148
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROB ALVES PSYD LP PA

Provider Business Mailing Address
First Line	:	PO BOX 49284
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33743-9284
Country	:	US
Telephone Number	:	727-209-7792
Fax Number	:

Provider Business Practice Location Address
First Line	:	6251 PARK BLVD N
Second Line	:	SUITE #9B
City	:	PINELLAS PARK
State	:	FL
Zip	:	33781-3238
Country	:	US
Telephone Number	:	727-209-7792
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROBERTO ALVES
Credential	:	PSY.D.
Telephone Number	:	727-209-7792

Provider Enumeration Date	:	09/13/2013
Last Update Date	:	09/13/2013

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