Individual
DR. CYNTHIA VANESSA PENALVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
301 NW 84TH AVE STE 208, PLANTATION, FL 33324-1807
(954) 903-1676
Mailing address
296 E 4TH ST UNIT 204, HIALEAH, FL 33010-6227
(305) 469-3863
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT4188
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
PRIVATE PAY
FL
Enumeration date
12/03/2021
Last updated
12/03/2021
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