Individual
TANIA I MARRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4735 OLD CANOE CREEK RD, SAINT CLOUD, FL 34769-1400
(212) 573-9603
(407) 604-7677
Mailing address
4735 OLD CANOE CREEK RD, SAINT CLOUD, FL 34769-1400
(321) 257-3960
(407) 604-7677
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
004740
PR
103TC0700X
Clinical Psychologist
Primary
PY10072
FL
Other
Enumeration date
01/15/2013
Last updated
01/10/2025
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