Organization
TASHAWNA K. DUNCAN, PH.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TASHAWNA KAY DUNCAN PH.D. (PRESIDENT)
(941) 751-7545
Entity
Organization
Contact information
Practice address
5245 OFFICE PARK BLVD STE 105, BRADENTON, FL 34203-3444
(941) 751-7545
(941) 755-2514
Mailing address
5245 OFFICE PARK BLVD STE 105, BRADENTON, FL 34203-3444
(941) 751-7545
(941) 755-2514
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY6421
FL
103T00000X
Psychologist
Primary
PY6421
FL
103TB0200X
Cognitive & Behavioral Psychologist
PY6421
FL
103TC0700X
Clinical Psychologist
PY6421
FL
103TC1900X
Counseling Psychologist
PY6421
FL
103TC2200X
Clinical Child & Adolescent Psychologist
PY6421
FL
103TF0000X
Family Psychologist
PY6421
FL
103TF0200X
Forensic Psychologist
PY6421
FL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PY6421
FL
103TS0200X
School Psychologist
PY6421
FL
Other
Enumeration date
09/19/2009
Last updated
09/19/2009
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