Individual
DR. ISABEL ALFONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1017 THOMASVILLE RD, SUITE B, TALLAHASSEE, FL 32303-6294
(850) 577-3204
(850) 577-0605
Mailing address
1017 THOMASVILLE RD, SUITE B, TALLAHASSEE, FL 32303-6294
(850) 577-3204
(850) 577-0605
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY6302
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54637
BLUE CROSS AND BLUE SHIEL
FL
Enumeration date
05/03/2006
Last updated
04/15/2014
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