Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PY 5685 | FL |
Y | 103TC0700X | Clinical Psychologist | PY 5685 | FL |
N | 102L00000X | Psychologist | PY 5685 | FL |
N | 103T00000X | Psychologist | PY 5685 | FL |
NPI | 1013161272 |
---|---|
Provider Name | Dr. Yolanda Leon |
First Address | Orlando, FL 32891-0001 |
Second Address | Tampa, FL 33613 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2008 |
Last Update Date | 19/03/2021 |