Provider Demographics
NPI:1538594148
Name:ROB ALVES PSYD LP PA
Entity type:Organization
Organization Name:ROB ALVES PSYD LP PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVES
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:727-209-7792
Mailing Address - Street 1:PO BOX 49284
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33743-9284
Mailing Address - Country:US
Mailing Address - Phone:727-209-7792
Mailing Address - Fax:
Practice Address - Street 1:6251 PARK BLVD N
Practice Address - Street 2:SUITE #9B
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-3238
Practice Address - Country:US
Practice Address - Phone:727-209-7792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-13
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 8491103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty