Individual
GISELLE LEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
175 SW 7TH ST STE 2417, MIAMI, FL 33130-2966
(786) 565-8006
Mailing address
175 SW 7TH ST STE 2417, MIAMI, FL 33130-2966
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY10894
FL
103T00000X
Psychologist
Primary
PY10894
FL
103TA0700X
Adult Development & Aging Psychologist
PY10894
FL
103TR0400X
Rehabilitation Psychologist
PY10894
FL
Other
Enumeration date
09/28/2020
Last updated
04/15/2024
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