Individual
BLISS QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-9600
Mailing address
322 COSTANERA RD, CORAL GABLES, FL 33143-6563
(786) 325-5920
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY12317
FL
103T00000X
Psychologist
PY12317
FL
Other
Enumeration date
11/12/2024
Last updated
12/27/2024
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