Individual
GESENIA S SLOAN-PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
20301 GRANDE OAK SHOPPES BLVD # 118-58, ESTERO, FL 33928-7698
(954) 803-9002
Mailing address
20301 GRANDE OAK SHOPPES BLVD # 118-58, ESTERO, FL 33928-7698
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
08/07/2009
Last updated
07/01/2021
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