Provider Demographics
NPI:1922397066
Name:LAURA UMFER, PSY.D., LLC
Entity Type:Organization
Organization Name:LAURA UMFER, PSY.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:UMFER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:813-449-4436
Mailing Address - Street 1:4511 N HIMES AVE
Mailing Address - Street 2:STE 200
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-7074
Mailing Address - Country:US
Mailing Address - Phone:813-449-4436
Mailing Address - Fax:813-449-4437
Practice Address - Street 1:4511 N HIMES AVE
Practice Address - Street 2:STE 200
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-7074
Practice Address - Country:US
Practice Address - Phone:813-449-4436
Practice Address - Fax:813-449-4437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-29
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 7289103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty