Warner, Tamara Duckworth

Warner, Tamara Duckworth is an sole proprietor health care provider with primary practice located at 4101 Nw 89Th Blvd , Gainesville FL 32606. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Warner, Tamara Duckworth can be contacted via phone (352) 627-0456.

Contact Information

Primary practice address
4101 Nw 89Th Blvd Gainesville FL 32606
Phone: (352) 627-0456
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY 7353 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY 7353 Florida
Behavioral Health & Social Service Providers / Health Service 103TH0100X PY 7353 Florida
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY7353 Florida

Profile Details

NPI number 1245401504
LBN Legal business name Warner, Tamara Duckworth
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2008
Last updated Jul 13th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245401504 NPPES
Other 152JV BCBS NC
Other 593L3 BCBS NC
MEDICAID 6001156 BCBS NC
Other 52064 BCBS NC

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