Individual
COURTNEY B MOLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
206 PARK PLACE BLVD, KISSIMMEE, FL 34741-2344
(407) 846-0023
Mailing address
740 LAMP POST LN, LAKELAND, FL 33809-6613
(773) 951-7638
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11715
FL
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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