Individual
LILLIAM RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
701 SW 27TH AVE, SUITE G20, MIAMI, FL 33135
(305) 643-7800
(305) 643-1345
Mailing address
23 HARRIS ST, NORWALK, CT 06850-2031
(954) 740-9662
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
022499
NY
Other
Enumeration date
11/14/2011
Last updated
06/28/2018
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