Individual
DR. JENNIFER DESOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
333 W COCOA BEACH CSWY STE D, COCOA BEACH, FL 32931-3513
(321) 613-5001
Mailing address
2915 THOMAS COVE DR, GROVELAND, FL 34736-8690
(352) 999-7035
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
02/26/2022
Last updated
02/26/2022
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