Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PY0004504 | FL |
Y | 103TC0700X | Clinical Psychologist | PY0004504 | FL |
NPI | 1003831025 |
---|---|
Provider Name | Lawrence Neal Pasman |
First Address | Tampa, FL 33618-2401 |
Second Address | Tampa, FL 33618-2401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 08/07/2007 |