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Individual

DR. CAROLINA HENAO IRURITA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
3680 AVALON PARK EAST BLVD STE 203, ORLANDO, FL 32828-9373
(321) 340-3038
(407) 604-6671
Mailing address
12425 MARLEIGH CT, ORLANDO, FL 32828-8650

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
103TC0700X
Clinical Psychologist
Primary
PY11697
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1518315373
LICENSED PSYCHOLOGIST
FL
Enumeration date
06/01/2016
Last updated
04/23/2025
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