MEDICARE: DR. OHIANA TORREALDAY PHD

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
1	103TC0700X	Clinical Psychologist	PY9301	FL

General Provider Information

NPI Number	:	1376080689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OHIANA TORREALDAY PHD

Provider Business Mailing Address
First Line	:	2706 W SAINT ISABEL ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6382
Country	:	US
Telephone Number	:	888-666-3089
Fax Number	:	888-666-9870

Provider Business Practice Location Address
First Line	:	2706 W SAINT ISABEL ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6382
Country	:	US
Telephone Number	:	888-666-3089
Fax Number	:	888-666-9870

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2017
Last Update Date	:	01/24/2017

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