Organization
THE STARLIGHT CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIA AILEEN KERN-BUTLER PSY.D. (OWNER/PRESIDENT)
(863) 402-9182
Entity
Organization
Contact information
Practice address
111 W CENTER AVE STE 3, SEBRING, FL 33870-3104
(863) 402-9182
(863) 402-9183
Mailing address
111 W CENTER AVE STE 3, SEBRING, FL 33870-3104
(863) 402-9182
(863) 402-9183
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6186
FL
Other
Enumeration date
01/08/2009
Last updated
10/14/2009
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