Individual
BERTHA OFELIA BAGARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1000 PONCE DE LEON BLVD, SUITE # 125, CORAL GABLES, FL 33134-3353
(305) 490-9641
Mailing address
1000 PONCE DE LEON BLVD, SUITE # 125, CORAL GABLES, FL 33134-3353
(305) 490-9641
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PY4587
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075820500
—
FL
Enumeration date
05/05/2006
Last updated
02/13/2009
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