Individual
DR. ELIZABETH YOLANDA SKJOLDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
9020 SW 137TH AVE STE 225, MIAMI, FL 33186-1432
(786) 379-4466
(305) 363-5957
Mailing address
9020 SW 137TH AVE STE 225, MIAMI, FL 33186-1432
(786) 379-4466
(305) 363-5957
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY4936
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013881305
—
FL
01
—
273086000
AVMED
FL
01
—
5941
BLUE CROSS BLUE SHIELD
FL
01
—
721904
BEACON
FL
01
—
9367379
AETNA
FL
01
—
P3N90K50N
OPTUM
FL
Enumeration date
08/10/2009
Last updated
12/28/2018
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