Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PY9569 | FL |
Y | 103T00000X | Psychologist | PY9569 | FL |
N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
N | 103TC1900X | Counseling Psychologist | ||
N | 103TH0100X | Health Service | ||
N | 103TP2701X | Group Psychotherapist |
NPI | 1295490522 |
---|---|
Provider Name | Dr. Sylwia P Hodorek |
First Address | Tallahassee, FL 32311-8203 |
Second Address | Tallahassee, FL 32301-2520 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2021 |
Last Update Date | 02/11/2021 |