Provider Demographics
NPI:1760739569
Name:LTI ASSOCIATES, INC.
Entity Type:Organization
Organization Name:LTI ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:T
Authorized Official - Last Name:INATSUKA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:813-985-6121
Mailing Address - Street 1:8066 N 56TH ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33617-7620
Mailing Address - Country:US
Mailing Address - Phone:813-985-6121
Mailing Address - Fax:813-985-7149
Practice Address - Street 1:8066 N 56TH ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-7620
Practice Address - Country:US
Practice Address - Phone:813-985-6121
Practice Address - Fax:813-985-7149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-10
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0005714103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty