Individual
DR. DAINERY M. FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
464 W PIPKIN RD, LAKELAND, FL 33813-2699
(863) 648-1812
Mailing address
5897 LAKE VICTORIA DR, LAKELAND, FL 33813-4711
(863) 648-1812
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY004076
FL
Other
Enumeration date
04/09/2007
Last updated
03/27/2021
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