Individual
DR. JEANNINE MARIE KUBIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(407) 629-1599
(407) 599-1583
Mailing address
4832 E MICHIGAN ST APT 8, ORLANDO, FL 32812-5411
(239) 292-9379
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY-6636
FL
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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