Individual
DR. LAURA S OLIVOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
975 ARTHUR GODFREY RD STE 303, MIAMI BEACH, FL 33140-3342
(305) 792-8168
(305) 675-0689
Mailing address
8129 ABBOTT AVE APT 12, MIAMI BEACH, FL 33141-1658
(772) 240-9599
(305) 675-0689
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY9816
FL
103TC0700X
Clinical Psychologist
Primary
PY9816
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021870400
—
FL
Enumeration date
08/25/2014
Last updated
03/28/2024
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