=====================================================
General NPI Number Information
=====================================================
NPI Number | 1376752246
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LIFE AND HEALTH PSYCHOLOGY ASSOCIATES INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/21/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 13800 PARK BLVD
-----------------------------------------------------
City | SEMINOLE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33776-3439
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-647-2144
-----------------------------------------------------
Fax | 727-394-7336
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 13800 PARK BLVD
-----------------------------------------------------
City | SEMINOLE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33776
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-647-2144
-----------------------------------------------------
Fax | 727-394-7336
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. ROMA LINA SCHIEFER
-----------------------------------------------------
Credential | PH.D.
-----------------------------------------------------
Telephone | 727-647-2144
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC1900X
-----------------------------------------------------
Taxonomy Name | Counseling Psychologist
-----------------------------------------------------
License Number | PY0005464
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------