Provider Demographics
NPI:1568741213
Name:KAMATH, ANNE H
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:H
Last Name:KAMATH
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:ANNE
Other - Middle Name:ELIZABETH
Other - Last Name:HEATH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:2531 NW 41ST ST.
Mailing Address - Street 2:BUILDING C
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606
Mailing Address - Country:US
Mailing Address - Phone:352-375-4441
Mailing Address - Fax:
Practice Address - Street 1:2531 NW 41ST ST
Practice Address - Street 2:BUILDING C
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-7490
Practice Address - Country:US
Practice Address - Phone:352-375-4441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-12
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY5218103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling