Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL D. EASTRIDGE, PH.D.
Active Sole ProprietorMICHAEL D. EASTRIDGE, PH.D. is a Clinical Neuropsychologist healthcare provider located in SAINT PETERSBURG, Florida. NPI 1720129539 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · SAINT PETERSBURG, FL
Registration Details
- NPI Number
- 1720129539
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 12, 2007 (19.544142094865 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PY0003431 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
275 96TH AVE NSUITE 3SAINT PETERSBURG, FL, 337022504Browse FL providers · Browse ZIP 33702
- Phone
- 7275790080
- Fax
- 7275782542
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
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.