Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PY3945 | FL |
Y | 103TC0700X | Clinical Psychologist | PY3945 | FL |
NPI | 1013114008 |
---|---|
Provider Name | Dr. Olga O Skalkos |
First Address | Tampa, FL 33618-4579 |
Second Address | Tampa, FL 33618-4579 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2007 |
Last Update Date | 08/07/2007 |