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Individual

LOURDES SANTIAGO-GELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
900 W MAGNOLIA ST, KISSIMMEE, FL 34741-4117
(800) 457-4573
(800) 443-6422
Mailing address
200 HYGEIA DR STE 2300, NEWARK, DE 19713-2049

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
002813
PR
103TC0700X
Clinical Psychologist
Primary
PY12650
FL

Other

Enumeration date
09/14/2012
Last updated
04/01/2025
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