Individual
VERONICA HENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
S.S.P., LSP, NCSP
Contact information
Practice address
491 SE LANCASTER AVE, PORT ST LUCIE, FL 34984-4770
(786) 718-2466
Mailing address
491 SE LANCASTER AVE, PORT ST LUCIE, FL 34984-4770
(786) 718-2466
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS1523
FL
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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