NPI 1003084153

Tracy Lynn Goellner Bohannon

Practitioner Social Worker Tampa, FL

Practice location

Address: 5707 N 22nd St, Tampa, FL 33610-4350
Phone: (813) 272-2878
Fax: (813) 272-3766

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X

Other Social Worker providers in Florida →

Registry record

NPI: 1003084153
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Feb 2008
Record last updated: 12 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.