Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | SS1093 | FL |
NPI | 1063053858 |
---|---|
Provider Name | Mrs. Brittany Kauffmann |
First Address | Winter Springs, FL 32708-2834 |
Second Address | Oviedo, FL 32765-9262 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2019 |
Last Update Date | 02/10/2019 |