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Individual

DR. NATALIE A RIVERA MORALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
5705 LEE BLVD STE 1, LEHIGH ACRES, FL 33971-6342
(239) 343-1800
(239) 343-4041
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-1800
(239) 343-4041

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY10217
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102397100
FL
Enumeration date
08/07/2015
Last updated
03/30/2021
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