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NPI Code Detail

MEDICARE: STAR PSYCHOLOGY, LLC

MEDICARE: STAR PSYCHOLOGY, LLC
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
1103TS0200XSchool Psychologist

General Provider Information

NPI Number : 1548192123
Entity Type Code : Organization
Provider Name (Legal Business Name) : STAR PSYCHOLOGY, LLC
Provider Business Mailing Address
First Line : 4720 CLEVELAND HEIGHTS BLVD STE 201
Second Line :
City : LAKELAND
State : FL
Zip : 33813-2245
Country : US
Telephone Number : 863-225-8136
Fax Number : 863-279-1195
Provider Business Practice Location Address
First Line : 4720 CLEVELAND HEIGHTS BLVD STE 201
Second Line :
City : LAKELAND
State : FL
Zip : 33813-2245
Country : US
Telephone Number : 863-225-8136
Fax Number : 863-279-1195
Authorized Official
Title or Position : PRACTICE OWNER
Name : DR. SHEYTOPHIA RENEE CUNHA
Credential : PSYD, NCSP, ABSNP
Telephone Number : 863-225-8136
Provider Enumeration Date : 05/30/2026
Last Update Date : 05/30/2026

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Directions to “STAR PSYCHOLOGY, LLC ” Practice Location

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