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Individual

REBECCA C VILLAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
1355 S INTERNATIONAL PKWY, STE 2471, LAKE MARY, FL 32746-1694
(407) 906-8843
(888) 335-7778
Mailing address
1355 S INTERNATIONAL PKWY, STE 2471, LAKE MARY, FL 32746-1694
(407) 906-8843
(888) 335-7778

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY8696
FL
103T00000X
Psychologist
PY 8696
FL

Other

Enumeration date
02/01/2013
Last updated
03/13/2017
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