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NPI Code Detail

MEDICARE: MRS. STEPHANIE SUZETTE GERMON LMHC

MEDICARE: MRS. STEPHANIE SUZETTE GERMON LMHC
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
1101YM0800XMental Health CounselorMH-16366FL

General Provider Information

NPI Number : 1396112843
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. STEPHANIE SUZETTE GERMON LMHC
Provider Business Mailing Address
First Line : 4144 N ARMENIA AVE STE 350
Second Line :
City : TAMPA
State : FL
Zip : 33607-6434
Country : US
Telephone Number : 813-285-7073
Fax Number : 813-252-3413
Provider Business Practice Location Address
First Line : 4144 N ARMENIA AVE STE 350
Second Line :
City : TAMPA
State : FL
Zip : 33607-6434
Country : US
Telephone Number : 813-285-7073
Fax Number : 813-252-3413
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2015
Last Update Date : 04/10/2019

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Directions to “ MRS. STEPHANIE SUZETTE GERMON LMHC” Practice Location

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