Individual
DR. STEPHANIE MARIE MOLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
96 SW ALLAPATTAH RD, INDIANTOWN, FL 34956-4307
(772) 597-9400
Mailing address
96 SW ALLAPATTAH RD, INDIANTOWN, FL 34956-4307
(772) 597-9400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
11386
MA
103TC0700X
Clinical Psychologist
Primary
PY11155
FL
103TF0200X
Forensic Psychologist
—
—
Other
Enumeration date
11/02/2020
Last updated
09/07/2021
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