Individual
DR. DAYRA LILA BODAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6501 NW 36TH ST, SUITE #102, VIRGINIA GARDENS, FL 33166-6959
(305) 871-3131
(305) 871-2727
Mailing address
8640 SW 85TH AVE, MIAMI, FL 33143-6930
(305) 992-0116
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
103TC0700X
FL
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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