Individual
NICOLE LLERENA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
356 ALHAMBRA CIR, CORAL GABLES, FL 33134-5004
(305) 445-0477
(305) 445-0958
Mailing address
356 ALHAMBRA CIR, CORAL GABLES, FL 33134-5004
(305) 445-0477
(305) 445-0958
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY8660
FL
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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