Individual
DR. KARLA DANIELLE PENA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
412 S HART BLVD, ORLANDO, FL 32835-1950
(321) 246-7490
Mailing address
412 S HART BLVD, ORLANDO, FL 32835-1950
(321) 246-7490
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY8755
FL
103TC0700X
Clinical Psychologist
PY 8755
FL
Other
Enumeration date
05/15/2013
Last updated
04/18/2019
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