Individual
DR. DENISE CARBALLEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
18115 SW 5TH CT, PEMBROKE PINES, FL 33029-4352
(786) 554-9058
Mailing address
18115 SW 5TH CT, PEMBROKE PINES, FL 33029-4352
(786) 554-9058
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY12377
FL
103T00000X
Psychologist
Primary
PY12377
FL
103TC0700X
Clinical Psychologist
Primary
PY12377
FL
Other
Enumeration date
05/23/2025
Last updated
02/11/2026
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