OrganizationActive
Child and Family Learning
NPI 1992104111 · Clinical Child & Adolescent Psychologist · Tampa, FL
Provider details
- NPI number
- 1992104111
- Entity type
- Organization
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Diane Koch, Owner/Psychologist(813) 399-1625
- License
- PY4230 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
312 E 7th Ave
Tampa, FL 33602-2300
Phone: (813) 399-1625
Approximate (ZIP-level) locationGet directions
Mailing address
312 E 7th Ave
Tampa, FL 33602-2300
Registry dates
- Enumerated
- 2014-08-14
- Last updated
- 2014-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.