Keila Mabel Fatnassi
Addiction Psychologist (Substance Use Disorder)
510 Vonderburg Dr # 301
Brandon
, Florida 33511-5954
Keila Mabel Fatnassi
Addiction Psychologist (Substance Use Disorder)
510 Vonderburg Dr # 301
Brandon
, Florida 33511-5954
(813) 846-7904
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Keila Mabel Fatnassi
- 700 S Harbour Island Blvd Unit # 313
- Tampa, FL
- Zip : 33602-5712
- Phone : (813) 846-7904
Second Address
- Keila Mabel Fatnassi
- 510 Vonderburg Dr # 301
- Brandon, FL
- Zip : 33511-5954
- Phone : (813) 881-1000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) |
National Provider Identifier
| NPI | 1477962181 |
|---|---|
| Provider Name | Keila Mabel Fatnassi |
| First Address | Tampa, FL 33602-5712 |
| Second Address | Brandon, FL 33511-5954 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/08/2014 |
| Last Update Date | 06/08/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.