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Provider Information for 1295887057


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STEPHANIE DOBBS LMFT


Sex: Female

NPI: 1295887057
Last Updated: 2007-07-08
Certification Date:

Details

NameValue
NPI1295887057
Enumeration Date2007-01-18
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1437 S BELCHER RD
CLEARWATER, FL 33764-2829
United States

Phone: 727-524-4464 | Fax:727-524-4491
 
Primary Practice Address 1437 S BELCHER RD
CLEARWATER, FL 33764-2829
United States

Phone: 727-524-4464 | Fax:727-524-4491
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDFL766319600
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist FLMT 1937