Individual
FERMINA LIZA ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
11327 VILLAGE BROOK DRIVE, RIVERVIEW, FL 33579
(813) 278-7644
Mailing address
PO BOX 615, LARES, PR 00669-0615
(787) 452-7173
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY11562
FL
Other
Enumeration date
01/19/2010
Last updated
08/17/2022
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