Individual
SISSI HERZOG RIBEIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10000 BAY PINES BLVD, BAY PINES, FL 33744-8200
(727) 398-6661
Mailing address
10285 ADDISON WAY APT 1412, SEMINOLE, FL 33772-6056
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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