Individual
DR. TAMARA FAITH VIVIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3001 SW COLLEGE RD, OCALA, FL 34474-4415
(352) 854-2322
(352) 873-5826
Mailing address
3001 SW COLLEGE RD, PO BOX 1388, OCALA, FL 34474-4415
(352) 854-2322
(352) 873-5826
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY7395
FL
Other
Enumeration date
07/23/2007
Last updated
11/01/2009
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