Individual
DR. EILEEN DA PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2250 NW 114TH AVE, UNIT 1P, PTY 1457, MIAMI, FL 33192
(210) 209-9188
Mailing address
PO BOX 025724 PTY 1457, MIAMI, FL 33192-0001
(210) 209-9188
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
19674
CA
103TC0700X
Clinical Psychologist
Primary
19674
CA
Other
Enumeration date
03/20/2009
Last updated
06/29/2020
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