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Individual

JOSELENE MARTINEZ-CORREA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
442 W KENNEDY BLVD STE 280, TAMPA, FL 33606-1464
(813) 467-6111
Mailing address
1936 BRUCE B DOWNS BLVD # 325, WESLEY CHAPEL, FL 33544-9262
(973) 289-3500

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY10834
FL
103TC0700X
Clinical Psychologist
004667
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
113195600
FL
Enumeration date
01/10/2013
Last updated
06/01/2022
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