Individual
DR. NATASHA ANTOINETTE MAYNARD-PEMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
301 PEABODY HALL, UNIVERSITY OF FLORIDA, GAINESVILLE, FL 32611-4100
(352) 672-1155
Mailing address
PO BOX 114100, GAINESVILLE, FL 32611-4100
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY 7450
FL
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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