Organization
LAURA DE LA NUEZ, PSY.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA DE LA NUEZ PSY.D (OWNER)
(786) 797-7788
Entity
Organization
Contact information
Practice address
2100 PONCE DE LEON BLVD, SUITE 1015, CORAL GABLES, FL 33134-5215
(786) 797-7788
Mailing address
6736 MAGNOLIA CT, MIAMI, FL 33143-3275
(786) 797-7788
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY7223
FL
Other
Enumeration date
12/27/2010
Last updated
12/27/2010
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