Individual
LIZETTE ROQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7975 LAKE UNDERHILL RD STE 200, ORLANDO, FL 32822-8204
(407) 303-6830
(407) 303-6839
Mailing address
7975 LAKE UNDERHILL RD STE 200, ORLANDO, FL 32822-8204
(407) 303-6830
(407) 303-6839
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY11364
FL
Other
Enumeration date
03/18/2020
Last updated
06/16/2022
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