Individual
DANIELLA ALEXANDRA LOPEZ PALACIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 NW 14TH ST, MIAMI, FL 33136-2137
(305) 243-4000
Mailing address
1150 NW 14TH ST STE 604, MIAMI, FL 33136-2117
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY12855
FL
103TC0700X
Clinical Psychologist
Primary
PY12855
FL
Other
Enumeration date
01/23/2026
Last updated
02/16/2026
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