Individual
DR. MANUELA MARIA MENENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5915 PONCE DE LEON BLVD, SUITE 19, CORAL GABLES, FL 33146-2435
(786) 529-6913
Mailing address
5915 PONCE DE LEON BLVD, SUITE 19, CORAL GABLES, FL 33146-2435
(786) 529-6913
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8389
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45-5519733
TAX ID
FL
Enumeration date
07/07/2011
Last updated
07/26/2013
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