Individual
CYNDY IVETTE MERCADO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10244 E COLONIAL DR STE 110, ORLANDO, FL 32817-4365
(407) 202-9440
Mailing address
10244 E COLONIAL DR STE 110, ORLANDO, FL 32817-4365
(407) 202-9440
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
102L00000X
Psychoanalyst
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
08/04/2023
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