| Doctor Name: | DR. TATIANA MARGARITA SORIA |
| NPI Number: | 1366794828 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 1771 |
| Business Practice Address: | Hurlburt Field Hurlburt Field, FL - 32544 |
| Business Phone Number: | 8508841111 |
| Business Fax Number: | |
| Mailing Address: | Hurlburt Field, HURLBURT FIELD |
| State: | FL |
| Postal Code: | 32544 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/09/2012 |
| NPI Last Update Date: | 11/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1771 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |