IndividualActive
Antonio Colon
NPI 1174666937 · Clinical Child & Adolescent Psychologist · Brandon, FL
Provider details
- NPI number
- 1174666937
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Developmental Therapist222Q00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
708 Pear L Circle
Brandon, FL 33510
Phone: (813) 481-8051
Approximate (ZIP-level) locationGet directions
Mailing address
8734 Orange Leaf Ct
Temple Terrace, FL 33637
Registry dates
- Enumerated
- 2007-02-14
- Last updated
- 2012-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.