Provider Information for 1528713906
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VYNASKA TANEKA CORRIERE LMHC
Sex: Female
NPI: 1528713906
Last Updated: 2022-02-15
Certification Date: 2022-02-15
Certification Date: 2022-02-15
Details
| Name | Value | ||||||||
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| NPI | 1528713906 | ||||||||
| Enumeration Date | 2022-02-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 400 N ASHLEY DR STE 1900 TAMPA, FL 33602-4311 United States Phone: 813-712-8734 | Fax: | ||||||||
| Primary Practice Address | 400 N ASHLEY DR STE 1900 TAMPA, FL 33602-4311 United States Phone: 813-712-8734 | Fax: | ||||||||
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