Individual
DR. STELLA G ROMAN SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., PH.D.
Contact information
Practice address
1400 N SEMORAN BLVD STE E, ORLANDO, FL 32807-3562
(407) 823-8421
(407) 823-8195
Mailing address
1400 N SEMORAN BLVD STE E, ORLANDO, FL 32807-3562
(407) 823-8421
(407) 823-8195
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
005167
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110027780B
—
MA
Enumeration date
08/07/2013
Last updated
10/25/2016
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