Individual
JENNIFER BERRIOS BURGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CAS
Contact information
Practice address
2780 HIGHLANDS CREEK DR, LAKELAND, FL 33813-1893
(203) 449-0523
Mailing address
2780 HIGHLANDS CREEK DR, LAKELAND, FL 33813-1893
(203) 449-0523
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
SS1941
FL
103TS0200X
School Psychologist
Primary
C072015001328
CT
103TS0200X
School Psychologist
SS1941
FL
Other
Enumeration date
07/18/2022
Last updated
02/01/2026
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