Individual
IVELISSE MARIE RAIMUNDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2801 NW 87TH AVE UNIT 7, DORAL, FL 33172-1603
(787) 587-6792
(305) 653-5513
Mailing address
1200 BRICKELL BAY DR APT 3505, MIAMI, FL 33131-3272
(305) 653-5155
(305) 653-5513
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY8976
FL
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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