Individual
DR. TIA KERN-BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
12360 66TH ST STE 930, LARGO, FL 33773-3434
(727) 417-2812
(727) 499-6882
Mailing address
12360 66TH ST STE 930, LARGO, FL 33773-3434
(727) 417-2812
(727) 499-6882
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6186
FL
103TC2200X
Clinical Child & Adolescent Psychologist
PY6186
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070618300
—
FL
01
—
CW378A
MEDICARE PTAN
FL
Enumeration date
08/14/2006
Last updated
02/20/2026
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