Provider Demographics
NPI:1730301565
Name:TANIA SCHWEGEL SALES PSYD. PA
Entity Type:Organization
Organization Name:TANIA SCHWEGEL SALES PSYD. PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TANIA
Authorized Official - Middle Name:SCHWEGEL
Authorized Official - Last Name:SALES
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:727-488-4270
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:33706-1370
Mailing Address - Country:US
Mailing Address - Phone:727-488-4270
Mailing Address - Fax:
Practice Address - Street 1:1251 S MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3469
Practice Address - Country:US
Practice Address - Phone:727-488-4270
Practice Address - Fax:727-466-0478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6679103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty