Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TR0400X | Rehabilitation Psychologist |
NPI | 1366028623 |
---|---|
Provider Name | Lorainne Marie Galarza-Acevedo |
First Address | Wesley Chapel, FL 33544-8189 |
Second Address | Wesley Chapel, FL 33544-8189 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2021 |
Last Update Date | 18/03/2021 |