Provider Demographics
NPI:1972052637
Name:DANIELA VENOSA, PSY.D., P.A.
Entity type:Organization
Organization Name:DANIELA VENOSA, PSY.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:VENOSA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:813-433-0182
Mailing Address - Street 1:2111 W SWANN AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-2478
Mailing Address - Country:US
Mailing Address - Phone:813-433-0182
Mailing Address - Fax:813-438-4742
Practice Address - Street 1:2111 W SWANN AVE STE 204
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-2478
Practice Address - Country:US
Practice Address - Phone:813-433-0182
Practice Address - Fax:813-438-4742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-22
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty