Individual
REGINA M PAVONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1201 NW 16TH ST, MAIL CODE 116B, MIAMI, FL 33125-1624
(305) 575-3215
Mailing address
541 NE 105TH ST, MIAMI SHORES, FL 33138-2044
(305) 762-5414
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY5844
FL
Other
Enumeration date
05/11/2006
Last updated
07/08/2007
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