Individual
DR. CATHLEEN LAUREL CIVIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, ABPP
Contact information
Practice address
929 H. HWY 441, SUITE 404, LADY LAKE, FL 32159
(352) 291-2407
(352) 416-1814
Mailing address
1200 STEUART ST UNIT 922, BALTIMORE, MD 21230-5385
(443) 691-6641
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2387
MD
103T00000X
Psychologist
Primary
PY8698
FL
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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