Individual
DR. DENISE CARBALLEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
16000 PINES BLVD UNIT 820873, PEMBROKE PINES, FL 33082-9223
(305) 520-9122
(561) 973-3506
Mailing address
16000 PINES BLVD UNIT 820873, PEMBROKE PINES, FL 33082-9223
(305) 520-9122
(561) 973-3506
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
06/03/2026
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