Individual
BERNICE VAZQUEZ GARAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
5728 MAJOR BLVD STE 222, ORLANDO, FL 32819-7969
(321) 430-7017
Mailing address
5728 MAJOR BLVD STE 222, ORLANDO, FL 32819-7969
(321) 430-7017
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2011-101
KY
103TC0700X
Clinical Psychologist
Primary
PY9271
FL
Other
Enumeration date
08/11/2010
Last updated
09/21/2015
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