Healthcare Provider Details

I. General information

NPI: 1851502603
Provider Name (Legal Business Name): FRIEDMAN & RODRIGUEZ PSYCHOLOGY ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 05/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12167 W. LINEBAUGH AVE.
TAMPA FL
33626
US

IV. Provider business mailing address

12167 W. LINEBAUGH AVE.
TAMPA FL
33626
US

V. Phone/Fax

Practice location:
  • Phone: 813-386-6800
  • Fax: 813-891-1311
Mailing address:
  • Phone: 813-386-6800
  • Fax: 813-891-1311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREA L FRIEDMAN
Title or Position: MANAGER
Credential: PH.D.
Phone: 813-386-6800