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Provider Information for 1578228292


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Dr. MONA E STRIBLING Psy.D


Sex: Female

NPI: 1578228292
Last Updated: 2024-10-23
Certification Date: 2024-10-23

Details

NameValue
NPI1578228292
Enumeration Date2021-11-08
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 10420 MCKINLEY DR APT 9311
TAMPA, FL 33612-6448
United States

Phone: 813-553-0602 | Fax:
 
Primary Practice Address 10420 MCKINLEY DR APT 9311
TAMPA, FL 33612-6448
United States

Phone: 813-553-0602 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 103TE1100X - Psychologist - Exercise & SportsFLPY9891
Yes 103T00000X - Psychologist FLPy9891