Individual
CORNELIA IUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2501 RAYMOND STREET ORLANDO VA MEDICAL CENTER, LAKE BALDWIN OPC MENTAL HEALTH, ROOM 422, ORLANDO, FL 32803
(407) 646-5500
(407) 513-9328
Mailing address
2501 RAYMOND STREET ORLANDO VA MEDICAL CENTER, LAKE BALDWIN OPC MENTAL HEALTH, ROOM 422, ORLANDO, FL 32803
(407) 646-5500
(407) 513-9328
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
0810005492
VA
Other
Enumeration date
03/04/2016
Last updated
12/16/2016
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