Individual
DR. LARISSA LEIGH TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
101 JUDY SMITH DR, GUNTERSVILLE, AL 35976-4501
(256) 582-4033
Mailing address
101 JUDY SMITH DR, GUNTERSVILLE, AL 35976-4501
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2286
AL
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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