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General NPI Number Information
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NPI Number | 1669585444
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Entity Type | Organization
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Legal Business Name | BAY AREA PSYCHOLOGICAL CARE, INC.
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3780 TAMPA RD SUITE 115
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City | OLDSMAR
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State | FL
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Zip | 34677-3041
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Country | US
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Telephone | 727-771-6339
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Fax | 727-771-6338
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Provider Business Mailing Address
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Address Line | PO BOX 242
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City | OLDSMAR
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State | FL
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Zip | 34677-0242
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Country | US
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Telephone | 727-771-6339
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Fax | 727-771-6338
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Authorized Official
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Title or Position | OWNER/LICENSED PSYCHOLOGIST
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Name | DR. LISA MARI PETRICA
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Credential | PSY.D.
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Telephone | 727-771-6339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY5976
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY5976
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License Number State | FL
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