Individual
DR. JENNIFER FUENTES PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5305 MALPASO CREEK DR, MUSTANG, OK 73064-4881
(843) 304-1431
Mailing address
6421 N FLORIDA AVE, D-557, TAMPA, FL 33604
(843) 304-1431
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
004555
PR
103TC0700X
Clinical Psychologist
Primary
PY12114
FL
Other
Enumeration date
01/18/2013
Last updated
01/22/2024
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