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Individual

DR. LARA E. EMBRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY 7390
FL
103TC0700X
Clinical Psychologist
Primary
1899
AL
103TC0700X
Clinical Psychologist
PY 7390
FL
103TC2200X
Clinical Child & Adolescent Psychologist
1899
AL
103TF0000X
Family Psychologist
1899
AL
103TF0200X
Forensic Psychologist
1899
AL
103TH0004X
Health Psychologist
1899
AL
103TH0100X
Health Service Psychologist
PY 7390
FL

Other

Enumeration date
12/22/2006
Last updated
03/27/2015
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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