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NPI Code Detail

MEDICARE: SUNCOAST PSYCHOMETRICS, INC

MEDICARE: SUNCOAST PSYCHOMETRICS, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC2200XClinical Child & Adolescent PsychologistPY 4631FL

General Provider Information

NPI Number : 1073617551
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNCOAST PSYCHOMETRICS, INC
Provider Business Mailing Address
First Line : 73 S PALM AVE STE 215
Second Line :
City : SARASOTA
State : FL
Zip : 34236-5612
Country : US
Telephone Number : 941-921-5181
Fax Number : 941-922-4091
Provider Business Practice Location Address
First Line : 73 S PALM AVE STE 215
Second Line :
City : SARASOTA
State : FL
Zip : 34236-5612
Country : US
Telephone Number : 941-921-5181
Fax Number : 941-922-4091
Authorized Official
Title or Position : PRESIDENT,CE
Name : DR. DONALD A. MCMURRAY
Credential : PH.D.
Telephone Number : 941-921-5181
Provider Enumeration Date : 09/12/2006
Last Update Date : 08/22/2020

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Directions to “SUNCOAST PSYCHOMETRICS, INC ” Practice Location

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