Provider Demographics
NPI:1669670378
Name:MAKOWSKI, DENISE CORINNA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:CORINNA
Last Name:MAKOWSKI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10164 GULF BLVD
Mailing Address - Street 2:
Mailing Address - City:TREASURE ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33706-4809
Mailing Address - Country:US
Mailing Address - Phone:941-224-8526
Mailing Address - Fax:
Practice Address - Street 1:2223 SHADEHILL CT
Practice Address - Street 2:SUITE 126
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-5024
Practice Address - Country:US
Practice Address - Phone:813-495-4773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY5679103T00000X
IL071.007312103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist