Larry Curtis Kubiak, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY0004011 Issued in FL

Practice address

1616 Physicians Dr
Tallahassee, FL 32308-4619

Phone

(850) 431-5879

Fax

(850) 431-7478

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700997137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5398 PEMBRIDGE PL",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323096800",
            "telephone_number": "850-668-9763",
            "fax_number": "850-431-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 PHYSICIANS DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084619",
            "telephone_number": "850-431-5879",
            "fax_number": "850-431-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBIAK",
        "first_name": "LARRY",
        "middle_name": "CURTIS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY0004011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hallie Ann Kritsas
• Siva Mohan Krothapalli
• Zackary Quinn Kroyer
• Karen Camille Krueger, M.D.
• Scott L Krueger, PA-C
• Kary S Kublin, PH.D., CCC-SLP
• Matthew Kucharski
• Kudos Autism Therapy, LLC
• Pamela J Kuhlmeier, CCC SLP
• Holly Kuhn, RN, BSN

• Clinical Neuropsychologist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.