Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | PY3028 | FL |
NPI | 1114010832 |
---|---|
Provider Name | Dr. Mary K. Price |
First Address | Tallahassee, FL 32303 |
Second Address | Tallahassee, FL 32303 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 08/07/2007 |