Individual
RAQUEL KIRMSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1573 W FAIRBANKS AVE STE 220, WINTER PARK, FL 32789-4679
(407) 303-7991
Mailing address
1573 W FAIRBANKS AVE STE 220, WINTER PARK, FL 32789-4679
(407) 303-7991
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY10495
FL
103T00000X
Psychologist
PY10495
FL
Other
Enumeration date
07/03/2019
Last updated
08/20/2021
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