Healthcare Provider Details
I. General information
NPI: 1467674838
Provider Name (Legal Business Name): FILOMENA FELICIA FERRARA ED.S., PH.D./ABVE/D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/03/2007
Last Update Date: 10/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3030 N ROCKY POINT DR W SUITE 150
TAMPA FL
33607-5803
US
IV. Provider business mailing address
3030 N ROCKY POINT DR W SUITE 150
TAMPA FL
33607-5803
US
V. Phone/Fax
- Phone: 813-259-0303
- Fax: 877-669-0303
- Phone: 813-259-0303
- Fax: 877-669-0303
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TB0200X |
| Taxonomy | Cognitive & Behavioral Psychologist |
| License Number | SS434 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TF0200X |
| Taxonomy | Forensic Psychologist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TH0004X |
| Taxonomy | Health Psychologist |
| License Number | SS434 |
| License Number State | FL |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TM1800X |
| Taxonomy | Intellectual & Developmental Disabilities Psychologist |
| License Number | SS434 |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1744R1102X |
| Taxonomy | Research Study Specialist |
| License Number | |
| License Number State | |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225400000X |
| Taxonomy | Rehabilitation Practitioner |
| License Number | |
| License Number State | FL |
| # 7 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2255R0406X |
| Taxonomy | Blind Rehabilitation Specialist/Technologist |
| License Number | |
| License Number State | |
| # 8 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225C00000X |
| Taxonomy | Rehabilitation Counselor |
| License Number | |
| License Number State | |
| # 9 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XM0800X |
| Taxonomy | Mental Health Occupational Therapist |
| License Number | SS434 |
| License Number State | FL |
| # 10 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TS0200X |
| Taxonomy | School Psychologist |
| License Number | SS434 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: