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MICHELLE L MATTINGLY PHD

Clinical Neuropsychologist

Tampa, Florida

Provider NPI: 1194763300

Provider Information:
 MICHELLE L MATTINGLY PHD
Gender: F
Not Sole Proprietor

Practice Location:
3515 E FLETCHER AVE MDC 14 TAMPA, FL 33613 US
Tel: 813-974-8900  Fax: --

Business Mailing Address:
PO BOX 917770  ORLANDO, FL 32891 US
Tel: --  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
FLPY7999

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD5932PFL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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6 Licensed Psychologist Coconut Creek, FL, USA ... and neuropsychological evaluation. Support staff includes full time secretarial services and ... Our clinicians recognize the unique needs of each patient and use eclectic therapeutic approach to ...... Apply Now>>



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