Provider Demographics
NPI:1619375805
Name:HEALTH PSYCH SOLUTIONS OF FLORIDA INC
Entity type:Organization
Organization Name:HEALTH PSYCH SOLUTIONS OF FLORIDA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:DONATI-WADDELL
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:727-421-5329
Mailing Address - Street 1:1605 RIDGE TOP DR
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34688-8109
Mailing Address - Country:US
Mailing Address - Phone:727-421-5329
Mailing Address - Fax:727-942-7966
Practice Address - Street 1:13575 58TH ST N STE 105
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33760-3755
Practice Address - Country:US
Practice Address - Phone:727-421-5329
Practice Address - Fax:727-942-7966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-20
Last Update Date:2014-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6244103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty