Individual
TANYA LEIMOMI KORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED PSYCHOLOGIS
Contact information
Practice address
250 NW 76TH DR, GAINESVILLE, FL 32607-6668
(352) 505-6363
(352) 505-6383
Mailing address
264 NORCIA LOOP, LIBERTY HILL, TX 78642
(352) 505-6363
(352) 505-6383
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
38133
TX
103T00000X
Psychologist
PY8054
FL
Other
Enumeration date
05/11/2016
Last updated
04/19/2022
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