MS. AMY HEATH SHARP PATENAUDE


Address: 2908 W Angeles St, Tampa, FL 33629-6002
Phone: 8134827928

MS. AMY HEATH SHARP PATENAUDE (NPI# 1992030290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992030290
Entity Type Individual
Full Name MS. AMY HEATH SHARP PATENAUDE
Other Name AMY HEATH SHARP
Credential MA, ED.S.
Practice Address 2908 W Angeles St
Tampa
FL 33629-6002
Practice Telephone 8134827928
Mailing Telephone 8134827928
Enumeration Date 2009-10-05
Last Update Date 2020-03-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
SS1189 FL Behavioral Health & Social Service Providers
N 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
13101 Bruce B Downs Blvd, Tampa, FL 336123803 8139746142 8135581343

Office Location

Street Address 2908 W ANGELES ST
City TAMPA
State FL
Zip Code 33629-6002

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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1922507045 Noelle Christine Delacruz Psychologist 13505 Tufts Pl, Tampa, FL 33626-2948 2018-02-04
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1285860049 Karen L Austin Psychologist 3919 W San Juan St, Tampa, FL 33629-7802 2009-06-08
1588857270 Angela Terry Sheble Psychologist 15814 Spring Crest Cir, Tampa, FL 33624-1655 2007-08-25
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Competitor

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City TAMPA
Zip Code 33629

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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