Individual
DR. AISHA MARIE DEVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
13039 W LINEBAUGH AVE, BUILDING V, SUITE 101, TAMPA, FL 33626-4451
(888) 531-1313
Mailing address
15577 IONA LAKES DR, FORT MYERS, FL 33908-1851
(818) 679-2023
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0619
NV
103TC0700X
Clinical Psychologist
PY8011
FL
Other
Enumeration date
03/12/2010
Last updated
03/10/2020
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