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Contact Information

TARA LIVENGOOD, PSYD
1315 W 17TH ST UNIT 15034
PANAMA CITY, FL32406-7702
 Phone: 850-276-6401
 Fax: 850-792-6916
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TARA LIVENGOOD · (Female)

NPI # 1649750753
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 08/17/2018
Last updated 02/12/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # PY10222
  • TX License # 39532
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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