Individual
MS. GEORGETTE RIERA RODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ITDS
Contact information
Practice address
1601 NW 12TH AVE STE 206, MIAMI, FL 33136-1005
(305) 243-6660
Mailing address
800 N.E. 195 STREET, 613, MIAMI, FL 33179-3439
(786) 246-0268
(305) 653-7189
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/14/2006
Last updated
04/05/2019
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