Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PY6080 | FL |
Y | 103T00000X | Psychologist | PY6080 | FL |
N | 103TB0200X | Cognitive & Behavioral Psychologist | PY6080 | FL |
N | 103G00000X | Clinical Psychologist | PY6080 | FL |
N | 103TC0700X | Clinical Psychologist | PY6080 | FL |
N | 103TR0400X | Rehabilitation Psychologist | PY6080 | FL |
NPI | 1306983424 |
---|---|
Provider Name | Dr. Sherry Barbara Leib |
First Address | Tampa, FL 33601-1289 |
Second Address | Tampa, FL 33606-3571 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 11/06/2021 |