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Individual

DR. PAMELA VETRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
103K00000X
Behavior Analyst
1-04-1704
FL
103TS0200X
School Psychologist
Primary
SS587
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
684339596
FL
Enumeration date
09/16/2009
Last updated
09/16/2009
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