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NPI Code Detail

MEDICARE: TATIANA CAYCE LMFT

MEDICARE: TATIANA CAYCE LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistMT 3009FL

General Provider Information

NPI Number : 1871987149
Entity Type Code : Individual
Provider Name (Legal Business Name) : TATIANA CAYCE LMFT
Provider Business Mailing Address
First Line : 33537 TERRAGONA DR
Second Line :
City : SORRENTO
State : FL
Zip : 32776-6929
Country : US
Telephone Number : 352-483-1652
Fax Number : 352-315-7587
Provider Business Practice Location Address
First Line : 1217 HUFFSTETLER RD
Second Line :
City : EUSTIS
State : FL
Zip : 32726-8225
Country : US
Telephone Number : 352-483-1652
Fax Number : 352-315-7587
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2015
Last Update Date : 03/27/2015

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Directions to “ TATIANA CAYCE LMFT” Practice Location

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