Provider Demographics
NPI:1447421383
Name:PSYCHOLOGICAL ASSESSMENT AND TREATMENT SERVICES LLC
Entity Type:Organization
Organization Name:PSYCHOLOGICAL ASSESSMENT AND TREATMENT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ODIO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, LMHC
Authorized Official - Phone:860-778-6345
Mailing Address - Street 1:PO BOX 8070
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33674-8070
Mailing Address - Country:US
Mailing Address - Phone:888-666-3089
Mailing Address - Fax:888-666-9870
Practice Address - Street 1:4700 N HABANA AVE STE 401
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-7119
Practice Address - Country:US
Practice Address - Phone:888-666-3089
Practice Address - Fax:888-666-9870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-19
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7669251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health