Individual
SUSANA QUINTANA MARIKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
9555 FRANGIPANI DR, VERO BEACH, FL 32963-4524
(954) 562-7368
Mailing address
9555 FRANGIPANI DR, VERO BEACH, FL 32963-4524
(954) 562-7368
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8932
FL
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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