Individual
MARIANELA PENA-MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 S UNIVERSITY DR STE 303, DAVIE, FL 33328-3841
(754) 304-6378
(954) 642-1213
Mailing address
4801 S UNIVERSITY DR STE 303, DAVIE, FL 33328-3841
(754) 304-6378
(954) 642-1213
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
09/27/2011
Last updated
03/27/2025
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