Individual
AMBAR MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
414 LAKE HOWELL RD, MAITLAND, FL 32751-5900
(407) 637-2633
Mailing address
642 KENWICK CIR APT 202, CASSELBERRY, FL 32707-4259
(516) 603-2066
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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