MEDICARE: DAVID J BOUDREAUX PH.D.

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	103T00000X	Psychologist	9894	FL

General Provider Information

NPI Number	:	1720501869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID J BOUDREAUX PH.D.

Provider Business Mailing Address
First Line	:	13000 BRUCE B DOWNS BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-4745
Country	:	US
Telephone Number	:	813-816-7155
Fax Number	:

Provider Business Practice Location Address
First Line	:	10770 N 46TH ST BLDG E
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33617-3442
Country	:	US
Telephone Number	:	813-631-2583
Fax Number	:	813-631-3581

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

Provider Enumeration Date	:	07/20/2017
Last Update Date	:	01/30/2026

Similar Medicare Providers

1174577399 — DR. CHERYL ANNE COCKRAM PHD.,ARNP
Practice Location Address:

10770 N 46TH ST
TAMPA, FL
33617-3442

Practice Phone: 813-903-3615
Practice Fax:

1033144480 — WENDY HELLICKSON LCSW
Practice Location Address:

10770 N 46TH ST , SUITE A-400
TAMPA, FL
33617-3442

Practice Phone: 813-979-3559
Practice Fax:

1285650499 — MS. CAROL GRIFFITHS APRN, BC
Practice Location Address:

10770 N 46TH ST , C-100
TAMPA, FL
33617-3442

Practice Phone: 813-979-3562
Practice Fax: 813-979-3536

1801996418 — CHERYL LUIS PHD
Practice Location Address:

10770 N 46TH ST , STE C-900
TAMPA, FL
33617-3442

Practice Phone: 813-979-2008
Practice Fax: 813-979-2248

1861618662 — MICHAEL O'GRADY STEWART PH.D.
Practice Location Address:

10770 N 46TH ST , JAMES A. HALEY VETERANS' HOSPITAL (MHC)
TAMPA, FL
33617-3442

Practice Phone: 813-631-2601
Practice Fax:

1952512501 — ROSKAMP FOUNDATION IRRV TR
Practice Location Address:

10770 N 46TH ST , STE C-900
TAMPA, FL
33617-3442

Practice Phone: 813-979-2008
Practice Fax:

Directions to “ DAVID J BOUDREAUX PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.