Varghese Kodiyan PA

NPI #1003175753 in Tampa, Florida

Provider Information

NPI Number: 1003175753
Entity Type: Organization
Organization Name: Varghese Kodiyan PA
Primary Specialty: Social Worker - Clinical
Enumeration Date: May 15, 2012
Last Updated: May 15, 2012

Practice Location

Address: 602 SHELLCRACKER CT
City: Tampa
State: Florida
ZIP Code: 33613
Phone: (813) 245-7326

Authorized Official

Name: MR. VARGHESE KODIYAN, MA, MSW, LCSW, PA
Title: PRESIDENT
Phone: (813) 245-7326

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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