Individual
DR. MARIVELISSE RODRIGUEZ-RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
7859 WALNUT HILL LN STE 200, DALLAS, TX 75230
(214) 360-9044
(214) 666-3181
Mailing address
3301 SWISS AVE, DALLAS, TX 75204
(214) 820-9556
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
36317
TX
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
36317
TX
103TC0700X
Clinical Psychologist
68019362
NY
Other
Enumeration date
10/27/2011
Last updated
05/25/2018
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