Healthcare Provider Details

I. General information

NPI: 1447289897
Provider Name (Legal Business Name): JOHN J. DABROWSKI PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 03/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13357 N 56TH ST
TAMPA FL
33617-1161
US

IV. Provider business mailing address

13357 N 56TH ST
TAMPA FL
33617-1161
US

V. Phone/Fax

Practice location:
  • Phone: 813-983-0190
  • Fax: 813-983-0247
Mailing address:
  • Phone: 813-983-0190
  • Fax: 813-983-0247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPY5294
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY5294
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: