Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | MH14124 | FL |
Y | 103G00000X | Clinical Psychologist | PY11030 | FL |
Y | 103TC0700X | Clinical Psychologist | PY11030 | FL |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PY11030 | FL |
N | 103TM1800X | Intellectual & Developmental Disabilities | PY11030 | FL |
N | 103TR0400X | Rehabilitation Psychologist | PY11030 | FL |
N | 2080P0006X | Developmental - Behavioral Pediatrician | PY11030 | FL |
NPI | 1396321626 |
---|---|
Provider Name | Dr. Paula Karina Perez |
First Address | Miami, FL 33179-1104 |
Second Address | Miami, FL 33179-1104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2021 |
Last Update Date | 15/09/2021 |