Individual
MS. BREANNA LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 US-98, PENSACOLA, FL 32512-2111
(757) 289-2348
Mailing address
6000 US-98, PENSACOLA, FL 32503
(757) 289-2348
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810007404
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
12/09/2019
Last updated
11/08/2023
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