Individual
DR. MICHELLE AYALA-FELICIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5421 BEAUMONT CENTER BLVD STE 650, TAMPA, FL 33634-5223
(813) 992-7050
Mailing address
5421 BEAUMONT CENTER BLVD STE 650, TAMPA, FL 33634-5223
(813) 992-7050
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PY 9045
FL
103TC0700X
Clinical Psychologist
Primary
PY 9045
FL
103TH0004X
Health Psychologist
PY 9045
FL
103TR0400X
Rehabilitation Psychologist
PY 9045
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790082501
—
FL
Enumeration date
02/15/2011
Last updated
08/18/2025
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