Individual
DR. MICHELLE MARIE RODRIGUEZ DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2043 MEADOW POND WAY, ORLANDO, FL 32824-5060
(305) 613-1338
Mailing address
2043 MEADOW POND WAY, ORLANDO, FL 32824-5060
(305) 613-1338
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY10360
FL
103TH0004X
Health Psychologist
PY10360
FL
Other
Enumeration date
02/07/2019
Last updated
11/30/2021
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