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Individual

DR. LUZMARIE EDIVIA VELAZQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY11927
FL
103TC0700X
Clinical Psychologist
Primary
7764
PR
390200000X
Student in an Organized Health Care Education/Training Program
PPY336
FL

Other

Enumeration date
09/27/2022
Last updated
03/22/2024
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