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Provider Information for 1881103273


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Dr. MELISSA ECHEVARRIA BAEZ PsyD


Sex: Female

NPI: 1881103273
Last Updated: 2017-09-28
Certification Date:

Details

NameValue
NPI1881103273
Enumeration Date2017-09-28
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 302 HARBOUR PLACE DR
TAMPA, FL 33602-6758
United States

Phone: 787-454-6154 | Fax:
 
Primary Practice Address 13000 BRUCE B DOWNS BLVD
TAMPA, FL 33612-4745
United States

Phone: 813-972-2000 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDFLPY9980
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 103TH0004X - Psychologist - HealthFLPY9980