Individual
MS. QUIANA SHANDRISSE GENTLE CARMONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
7820 PETERS RD STE E100, PLANTATION, FL 33324-4019
(954) 577-0095
(954) 423-0901
Mailing address
7820 PETERS RD STE E100, PLANTATION, FL 33324-4019
(954) 577-0095
(954) 423-0901
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY13008
FL
Other
Enumeration date
10/16/2025
Last updated
10/17/2025
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