Individual
MARITZA LEON-VEIGUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8335 SW 166TH ST, PALMETTO BAY, FL 33157-0419
(786) 205-2596
Mailing address
8335 SW 166TH ST, PALMETTO BAY, FL 33157-0419
(786) 205-2596
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
10/02/2006
Last updated
07/02/2016
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