Individual
DR. VANESSA DANIELLE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
9960 NW 116TH WAY, SUITE 12, MEDLEY, FL 33178-1167
(305) 332-4972
Mailing address
9960 NW 116TH WAY, SUITE 12, MEDLEY, FL 33178-1167
(305) 332-4972
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 9516
FL
103TA0700X
Adult Development & Aging Psychologist
PY 9516
FL
103TB0200X
Cognitive & Behavioral Psychologist
PY 9516
FL
103TC0700X
Clinical Psychologist
PY 9516
FL
103TC1900X
Counseling Psychologist
PY 9516
FL
103TF0000X
Family Psychologist
PY 9516
FL
103TF0200X
Forensic Psychologist
PY 9516
FL
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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