Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PY7893 | FL |
Y | 103TC0700X | Clinical Psychologist | PY7893 | FL |
NPI | 1003058470 |
---|---|
Provider Name | Dr. Aileen Marleny Mendoza-Fernandez |
First Address | Miami, FL 33144-2128 |
Second Address | Coral Gables, FL 33134-5832 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2009 |
Last Update Date | 01/04/2009 |