| Dr Vivian Ana Loretdemola, PHD | |
|
3599 W. Lake Mary Blvd, Suite B2, Lake Mary, FL 32746 | |
| (386) 675-7467 | |
| (386) 256-3665 |
| Full Name | Dr Vivian Ana Loretdemola |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 3599 W. Lake Mary Blvd, Suite B2, Lake Mary, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891201638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY5437 (Florida) | Secondary |
| 103T00000X | Psychologist | PY5437 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vivian Ana Loretdemola, PHD 1502 N. Peninsula Drive, Daytona Beach, FL 32118 Ph: (386) 675-7467 | Dr Vivian Ana Loretdemola, PHD 3599 W. Lake Mary Blvd, Suite B2, Lake Mary, FL 32746 Ph: (386) 675-7467 |
Emily Johnson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1540 International Pkwy, Suite 2000, Lake Mary, FL 32746 Phone: 407-536-5383 Fax: 407-536-5301 | |
Dr. Rosimeri Cristina Clements, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 325 Waymont Ct, Ste 111, Lake Mary, FL 32746 Phone: 407-804-8975 Fax: 407-650-3152 | |
Dr. Brian Matthew Campbell, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 405 Waymont Ct, Suite 111, Lake Mary, FL 32746 Phone: 407-322-6868 | |
Kristin Hunte, RMHCI Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1307 S International Pkwy Ste 2051, Lake Mary, FL 32746 Phone: 407-284-1191 | |
Rebecca C Villar, PSYD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 1355 S International Pkwy, Ste 2471, Lake Mary, FL 32746 Phone: 407-906-8843 Fax: 888-335-7778 | |
Sarah Lucille Garcia-beaumier, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2500 W Lake Mary Blvd, Lake Mary, FL 32746 Phone: 407-906-8843 | |
Nancy Corwin, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 405 Waymont Ct, Suite 111, Lake Mary, FL 32746 Phone: 407-322-6868 |