Provider Demographics
NPI:1780046722
Name:TAMPA BAY PSYCHOLOGY, PA
Entity Type:Organization
Organization Name:TAMPA BAY PSYCHOLOGY, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEETA
Authorized Official - Middle Name:RANI
Authorized Official - Last Name:ARORA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:813-505-1301
Mailing Address - Street 1:5106 LANAI WAY
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-2537
Mailing Address - Country:US
Mailing Address - Phone:813-505-1301
Mailing Address - Fax:
Practice Address - Street 1:3812 W LINEBAUGH AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-8702
Practice Address - Country:US
Practice Address - Phone:813-505-1301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-28
Last Update Date:2016-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty