LYCIA ALEXANDER-GUERRA
Psychoanalyst
Tampa, Florida
Provider NPI: 1568835650
Organization Information:Organization Name: LYCIA ALEXANDER-GUERRA
Organization is not Subpart
Authorized Official: LYCIA L ALEXANDER-GUERRA MD 813-9085080
Practice Location:
13919 CARROLLWOOD VILLAGE RUN TAMPA, FL 33618 US
Tel: 813-908-5080 Fax: 813-908-5081
Business Mailing Address:
13919 CARROLLWOOD VILLAGE RUN TAMPA, FL 33618 US
Tel: 813-908-5080 Fax: 813-908-5081
Entity Type: Organization
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Organization is not Subpart
Authorized Official: LYCIA L ALEXANDER-GUERRA MD 813-9085080
Practice Location:
13919 CARROLLWOOD VILLAGE RUN TAMPA, FL 33618 US
Tel: 813-908-5080 Fax: 813-908-5081
Business Mailing Address:
13919 CARROLLWOOD VILLAGE RUN TAMPA, FL 33618 US
Tel: 813-908-5080 Fax: 813-908-5081
Entity Type: Organization
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 102L00000X | Behavioral Health & Social Service Providers Psychoanalyst | FL | ME45611 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NONE | NONE | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin