| Doctor Name: | MRS. TAMARA ELEANOR WOHLWEND |
| NPI Number: | 1538460290 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ED.S., BCABA, NCSP |
| License Number: | SS911 |
| Business Practice Address: | 9402 Bullfrog Ct Gibsonton, FL - 335345100 |
| Business Phone Number: | 8133358296 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1275, RIVERVIEW |
| State: | FL |
| Postal Code: | 335681275 |
| Phone Number: | 8139954012 |
| Fax Number: | |
| NPI Enumeration Date: | 11/11/2010 |
| NPI Last Update Date: | 11/11/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | SS911 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |