Individual
JESUS PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 825-0300
Mailing address
6429 COW PEN RD, #V104, MIAMI LAKES, FL 33014-7607
(757) 329-4690
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7966
FL
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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