Suncoast Pediatric Epilepsy and Neuropsychology Specialists

NPI #1063743896 in Ruskin, Florida

Provider Information

NPI Number: 1063743896
Entity Type: Organization
Organization Name: Suncoast Pediatric Epilepsy and Neuropsychology Specialists
Primary Specialty: Clinical Neuropsychologist
Enumeration Date: Jan 19, 2010
Last Updated: Jan 19, 2010

Practice Location

Address: 833 CYPRESS VILLAGE BLVD
City: Ruskin
State: Florida
ZIP Code: 33573-6822
Phone: (813) 633-6000

Authorized Official

Name: YOLANDA LEON, PSYD
Title: OWNER
Phone: (813) 633-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinical Neuropsychologist	103G00000X	Primary

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