Individual
NATALIA FALCON BANCHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1441 HERITAGE BLVD, IMMOKALEE, FL 34142-2260
(239) 658-3149
Mailing address
1454 MADISON AVE W, IMMOKALEE, FL 34142-2200
(239) 658-3000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY10228
FL
103TC0700X
Clinical Psychologist
PY10228
FL
Other
Enumeration date
10/10/2022
Last updated
10/21/2024
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