Individual
YASMARIE LUCCA ANAVITATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
17785 W BELL RD, SURPRISE, AZ 85374-3084
(787) 901-0538
Mailing address
17785 W BELL RD, SURPRISE, AZ 85374-3084
(787) 901-0538
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6378
PR
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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