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Individual

GIOVANNA BASILIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
5441 N UNIVERSITY DR STE 101, CORAL SPRINGS, FL 33067-4640
(954) 803-9002
Mailing address
5441 N UNIVERSITY DR STE 101, CORAL SPRINGS, FL 33067-4640
(954) 803-9002
(954) 933-2305

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
103TC0700X
Clinical Psychologist
PY12341
FL
103TF0200X
Forensic Psychologist

Other

Enumeration date
08/21/2024
Last updated
09/20/2024
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