Individual
DR. DENISE A VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1001 NORTH FEDERAL HIGHWAY SUITE 363, HALLANDALE, FL 33009-2407
(954) 228-5603
Mailing address
1001 N FEDERAL HWY STE 363, HALLANDALE, FL 33009-2407
(954) 228-5603
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6300
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766810400
—
FL
Enumeration date
01/28/2009
Last updated
10/24/2016
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