Individual
LIZ MAREN ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
1525 OREGON AVE, SAINT CLOUD, FL 34769-4674
(407) 202-9491
Mailing address
1525 OREGON AVE, SAINT CLOUD, FL 34769-4674
(407) 202-9491
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
555875
OR
103T00000X
Psychologist
LMO01129873
AL
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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