LAURA TILLMAN PSY.D.
NPI 1639919772
Student in an Organized Health Care Education/Training Program in Valrico, FL

Active since May 28, 2024
3005 LITHIA PINECREST RD, VALRICO, FL 33596(850) 418-2670 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Laura Tillman Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURA TILLMAN PSY.D. (NPI 1639919772) is an individual student in an organized health care education/training program in Valrico, Florida and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1639919772
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLAURA TILLMANCredential: PSY.D.
Location Address3005 LITHIA PINECREST RDValrico, FL 33596-5630
Mailing Address3005 Lithia Pinecrest RdValrico, FL 33596-5630 · (850) 418-2670
Sole ProprietorYes
Enumeration DateMay 28, 2024
NPPES CertifiedMay 28, 2024
NPI 1639919772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3005 LITHIA PINECREST RD, Valrico, FL 33596

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
3005 LITHIA PINECREST RD
VALRICO, FL 33596
Social Worker (Clinical)
3005 LITHIA PINECREST RD
VALRICO, FL 33596
Counselor (Mental Health)
3005 LITHIA PINECREST RD
VALRICO, FL 33596
Counselor (Mental Health)
3005 LITHIA PINECREST RD
VALRICO, FL 33596
Psychologist (Clinical Child & Adolescent)
3005 LITHIA PINECREST RD
VALRICO, FL 33596
Psychologist (Clinical)
3005 LITHIA PINECREST RD
VALRICO, FL 33596
Psychologist (Clinical Child & Adolescent)
3005 LITHIA PINECREST RD
VALRICO, FL 33596
Psychologist (Clinical)
3005 LITHIA PINECREST RD
VALRICO, FL 33596

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laura Tillman's NPI number?

The NPI number for Laura Tillman is 1639919772. It was assigned to this individual provider in the NPPES registry on May 28, 2024.

Where is Laura Tillman located?

Laura Tillman practices at 3005 Lithia Pinecrest Rd, Valrico, FL 33596. The listed phone number is (850) 418-2670.

What is Laura Tillman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Laura Tillman was last updated on May 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.