Individual
ELIZABETH SABRINA IBANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2883 EXECUTIVE PARK DR, SUITE 103 F, WESTON, FL 33331-3662
(305) 494-6866
Mailing address
2883 EXECUTIVE PARK DR, SUITE 103 F, WESTON, FL 33331-3662
(305) 494-6866
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY7792
FL
Other
Enumeration date
10/21/2008
Last updated
01/06/2012
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