| Bernice Vazquez, Psy.d.; Llc | |
|
5728 Major Blvd Ste 222 Orlando FL 32819-7969 | |
| (321) 430-7017 | |
| Not Available |
| Full Name | Bernice Vazquez, Psy.d.; Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5728 Major Blvd Ste 222, Orlando, Florida |
| Authorized Official Name and Position | Bernice Vazquez Garay (OWNER) |
| Authorized Official Contact | 3214307017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bernice Vazquez, Psy.d.; Llc 5728 Major Blvd Ste 222 Orlando FL 32819-7969 Ph: (321) 430-7017 | Bernice Vazquez, Psy.d.; Llc 5728 Major Blvd Ste 222 Orlando FL 32819-7969 Ph: (321) 430-7017 |
| NPI Number | 1114396165 |
|---|---|
| Provider Enumeration Date | 09/21/2015 |
| Last Update Date | 09/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114396165 | NPI | - | NPPES |
| 1841505195 | Other | FL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY9271 (Florida) | Primary |
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