Kern-Butler, Tia

Kern-Butler, Tia is an sole proprietor health care provider with primary practice located at 12360 66Th St Ste 930 , Largo FL 33773-3434. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kern-Butler, Tia can be contacted via phone (727) 417-2812.

Contact Information

Primary practice address
12360 66Th St Ste 930 Largo FL 33773-3434
Phone: (727) 417-2812
Fax: (727) 499-6882
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PY6186 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY6186 Florida

Profile Details

NPI number 1184637779
LBN Legal business name Kern-Butler, Tia
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2006
Last updated Aug 15th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184637779 NPPES
Florida Other CW378A MEDICARE PTAN
Florida MEDICAID 070618300 MEDICARE PTAN

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