Provider Demographics
NPI:1376935882
Name:PINELLAS PSYCHOLOGY ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:PINELLAS PSYCHOLOGY ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGRO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:727-379-1982
Mailing Address - Street 1:926 16TH ST N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-1211
Mailing Address - Country:US
Mailing Address - Phone:727-379-1982
Mailing Address - Fax:727-289-4962
Practice Address - Street 1:926 16TH ST N
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-1211
Practice Address - Country:US
Practice Address - Phone:727-379-1982
Practice Address - Fax:727-289-4962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-21
Last Update Date:2015-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamilyGroup - Single Specialty