Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TR0400X | Rehabilitation Psychologist |
NPI | 1447614268 |
---|---|
Provider Name | Vanessa Voyard-Tadal |
First Address | Orlando, FL 32822-4818 |
Second Address | Orlando, FL 32822-4818 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2016 |
Last Update Date | 07/04/2016 |