DR. Ellis L Gesten, PH.D.

NPI #1053588400 in Tampa, Florida

Provider Information

NPI Number: 1053588400
Entity Type: Individual
Name: DR. Ellis L Gesten, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PH.D.
Enumeration Date: May 14, 2008
Last Updated: May 14, 2008

Practice Location

Address: 3500 E FLETCHER AVE STE 207
City: Tampa
State: Florida
ZIP Code: 33613-4795
Phone: (813) 971-4800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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