LA TASHA AL-JARBOUA PA-C NPI 1588078000

NPI Information

NPI: 1588078000
Provider Name: LA TASHA AL-JARBOUA, PA-C
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
9800 4TH ST N STE 200
ST PETERSBURG, FL
ZIP 33702
Phone: (833) 399-0957
Get Directions

La Tasha Al-jarboua, PA-C is a child and adolescent psychiatry psychiatry neurology in St Petersburg, FL. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. La Tasha Al-jarboua, PA-C NPI is 1588078000. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9800 4TH ST N STE 200
ST PETERSBURG, FL
ZIP 33702-462
Phone: (833) 399-0957
Fax: (727) 335-1174

The NPI 1588078000 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/12/2014 and was last updated on 11/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	54234	CALIFORNIA	No
2	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	0010-04854	NORTH CAROLINA	No
3	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	54234	CALIFORNIA	Yes
4	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	0010-04854	NORTH CAROLINA	No
5	363A00000X	Physician Assistant			FLORIDA	No
6	363A00000X	Physician Assistant		54234	CALIFORNIA	No
7	363A00000X	Physician Assistant		0010-04854	NORTH CAROLINA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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