Individual
DR. BERTHA LUCIA TAVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
7449 NW 4TH ST, PLANTATION, FL 33317-2216
(954) 773-4146
(954) 583-2260
Mailing address
7449 NW 4TH ST, PLANTATION, FL 33317-2216
(954) 773-4146
(954) 583-2260
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 8633
FL
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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