Individual
DR. JESSICA J PENA MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
26829 TANIC DR STE 101, WESLEY CHAPEL, FL 33544-4612
(813) 219-0152
(873) 200-3500
Mailing address
26829 TANIC DR STE 101, WESLEY CHAPEL, FL 33544-4612
(813) 219-0152
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3278
PR
103TC0700X
Clinical Psychologist
PY11065
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CY198A
PTAN
—
Enumeration date
02/12/2009
Last updated
01/04/2023
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