Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | SS1283 | FL |
NPI | 1023534757 |
---|---|
Provider Name | Lunilda L Mcvay |
First Address | Homestead, FL 33030 |
Second Address | Homestead, FL 33030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2017 |
Last Update Date | 15/08/2017 |