Provider Demographics
NPI:1538369459
Name:CARRA, SYLVIA F (PHD)
Entity type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:F
Last Name:CARRA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MRS
Other - First Name:SYLVIA
Other - Middle Name:F
Other - Last Name:HAHN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:2715 W SLIGH AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-4343
Mailing Address - Country:US
Mailing Address - Phone:813-932-3469
Mailing Address - Fax:813-933-8214
Practice Address - Street 1:2715 W SLIGH AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-4343
Practice Address - Country:US
Practice Address - Phone:813-932-3469
Practice Address - Fax:813-933-8214
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY2099103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical