Individual
TAYANA WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2008 SE 45TH TERR, GAINESVILLE, FL 32641-3264
(352) 792-4659
Mailing address
2008 SE 45TH TERR, GAINESVILLE, FL 32641
(352) 792-4659
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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