Provider Demographics
NPI:1669918918
Name:ONWUMERE, DOROTHY CHINYERE
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:CHINYERE
Last Name:ONWUMERE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4042 BISMARCK PALM DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33610-9033
Mailing Address - Country:US
Mailing Address - Phone:813-325-4443
Mailing Address - Fax:
Practice Address - Street 1:4042 BISMARCK PALM DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33610-9033
Practice Address - Country:US
Practice Address - Phone:813-325-4443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-10
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9309880103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst