Individual
MS. LOURDES POLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH D PSYCHOLOGIST
Contact information
Practice address
6450 W 21ST CT, SUITE 207, HIALEAH, FL 33016-3946
(305) 826-9293
Mailing address
6450 W 21ST CT, SUITE 207, HIALEAH, FL 33016-3946
(305) 826-9293
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 005253
FL
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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