Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TC2200X | Clinical Child & Adolescent Psychologist | ||
N | 103TS0200X | School Psychologist | ||
Y | 2080P0006X | Developmental - Behavioral Pediatrician | PY11298 | FL |
NPI | 1053927004 |
---|---|
Provider Name | Kathryn L Marsh |
First Address | Gainesville, FL 32608-1158 |
Second Address | Gainesville, FL 32608-1158 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2020 |
Last Update Date | 02/11/2021 |