Individual
JESSICA ESTHER RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
14601 HOTEL ROAD, SUITE 101B, MIRAMAR, FL 33027-4711
(954) 933-8299
(786) 345-0776
Mailing address
14601 SW 29TH ST, SUITE 101 B, MIRAMAR, FL 33027-4714
(305) 582-8809
(786) 345-0776
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY8359
FL
103T00000X
Psychologist
PY8359
FL
Other
Enumeration date
08/29/2011
Last updated
11/19/2019
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