Individual
FABIOLA AUDIBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16025 EMERALD ESTATES DR, WESTON, FL 33331-6130
(754) 444-0674
Mailing address
550 BAYSHORE DR APT 415, FORT LAUDERDALE, FL 33304-3976
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY11277
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/19/2015
Last updated
11/04/2021
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