Provider Demographics
NPI:1073754099
Name:SALES, TANIA S (PSYD)
Entity Type:Individual
Prefix:MS
First Name:TANIA
Middle Name:S
Last Name:SALES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MS
Other - First Name:TANIA
Other - Middle Name:K
Other - Last Name:SCHWEGEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9357 BLIND PASS RD.
Mailing Address - Street 2:APT. 402
Mailing Address - City:ST. PETE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33706
Mailing Address - Country:US
Mailing Address - Phone:727-488-4270
Mailing Address - Fax:727-466-0478
Practice Address - Street 1:1251 SO. MYRTLE AVE.
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756
Practice Address - Country:US
Practice Address - Phone:727-488-4270
Practice Address - Fax:727-466-0478
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-20
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6679103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical