Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PY8297 | FL |
Y | 103T00000X | Psychologist | PY8297 | FL |
N | 103G00000X | Clinical Psychologist | PY8297 | FL |
N | 103TC0700X | Clinical Psychologist | PY8297 | FL |
N | 103TR0400X | Rehabilitation Psychologist | PY8297 | FL |
NPI | 1730476664 |
---|---|
Provider Name | Dr. Angelica Brozyna-Acree |
First Address | Tampa, FL 33601-1289 |
Second Address | Tampa, FL 33606-3571 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2011 |
Last Update Date | 08/12/2014 |