Provider Demographics
NPI:1770752289
Name:SRYGLEY FELCH, ANDREA JAYNE (PSYD)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:JAYNE
Last Name:SRYGLEY FELCH
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4501 14TH WAY NE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33703-5352
Mailing Address - Country:US
Mailing Address - Phone:727-388-6900
Mailing Address - Fax:727-538-2730
Practice Address - Street 1:926 16TH ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-1211
Practice Address - Country:US
Practice Address - Phone:727-388-6900
Practice Address - Fax:727-538-2730
Is Sole Proprietor?:No
Enumeration Date:2008-02-28
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 7674103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical