Provider Demographics
NPI:1376832428
Name:RICE PSYCHOLOGY GROUP, P.A.
Entity Type:Organization
Organization Name:RICE PSYCHOLOGY GROUP, P.A.
Other - Org Name:WENDY B. RICE, PSY.D., P.A.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PSYCHOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:B
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:813-969-3878
Mailing Address - Street 1:312 S BREVARD AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-2214
Mailing Address - Country:US
Mailing Address - Phone:813-969-3878
Mailing Address - Fax:
Practice Address - Street 1:312 S BREVARD AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-2214
Practice Address - Country:US
Practice Address - Phone:813-251-3878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-29
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty