Individual
TAKIESHA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8565 CHANNELVIEW CIR, TAMPA, FL 33614-8121
(813) 279-0871
Mailing address
8565 CHANNELVIEW CIR, TAMPA, FL 33614-8121
(813) 279-0871
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
FL
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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