Individual
ALEXANDRA BENGOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1573 W FAIRBANKS AVE, WINTER PARK, FL 32789-4679
(407) 303-7991
Mailing address
1573 W FAIRBANKS AVE, WINTER PARK, FL 32789-4679
(407) 303-7991
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
—
FL
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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