Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | ||
N | 103T00000X | Psychologist | ||
Y | 103TH0004X | Health Psychologist |
NPI | 1669844874 |
---|---|
Provider Name | Dr. Ana Esther Perez |
First Address | Lake Helen, FL 32744-3704 |
Second Address | Lake Helen, FL 32744-3704 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2015 |
Last Update Date | 28/10/2015 |