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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ATHENA BOOLUKOS GORDON, EDM, PSYD

Active

DR. ATHENA BOOLUKOS GORDON, EDM, PSYD is a Psychologist healthcare provider located in TAMPA, Florida. NPI 1700146552 is currently active in the NPPES registry. Verify at CMS.

Psychologist · TAMPA, FL

Registration Details

NPI Number
1700146552
Provider Type
Individual
Gender
Female
NPI Issued
May 25, 2012 (14.24959459952 yrs)
Last Updated
May 25, 2012
Licenses
PY8510 (FL)
PY8510 (FL)

Practice Information

Address
4201 BAYSHORE BLVD
UNIT 1603
TAMPA, FL, 336111669
Browse FL providers · Browse ZIP 33611
Phone
6177840771
Primary Specialty
Psychologist
103T00000X

Other Psychologist Providers in TAMPA, FL

Name Credential NPI
DR. KRISTIN M KRONSNOBLE PH.D. 1871596023
DR. PERRY W KALY PHD 1891747044
CAROLINE G BARNARD PH.D. 1669412631
DR. FRED L ALBERTS JR. PHD 1568404382
DR. BARBARA E FEINBERG PSYD 1598795684
LORA M.A. THOMPSON PHD 1972537207
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.