Individual
MARIA LETICIA VERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3113 STIRLING RD STE 204, FORT LAUDERDALE, FL 33312-6547
(954) 842-3501
(954) 206-0906
Mailing address
3113 STIRLING RD STE 204, FORT LAUDERDALE, FL 33312-6547
(954) 842-3501
(954) 206-0906
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
FL
103TH0004X
Health Psychologist
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V656552688040
DRIVER LICENSE
FL
Enumeration date
10/27/2017
Last updated
06/16/2018
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