Dr. David D. Coronado, Psy. D., LMHC
Psychologist in Sanford, FL. Individual provider (NPI-1).
NPI number1083171458
StatusActive
Last updated in NPPESJun 4, 2024
Details
- NPI
- 1083171458
- Entity type
- Individual (NPI-1)
- Name
- Dr. David D. Coronado
- Credential
- Psy. D., LMHC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 21, 2019
- Certification date
- Jun 4, 2024
- Last updated
- Jun 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | PY12212 | FL | Yes |
| 101YM0800X | Counselor, Mental Health | MH16244 | FL | |
| 103TC0700X | Psychologist, Clinical | PY12212 | FL |
Practice location
722 Trade WaySanford, FL 32771-8657
Phone 833-769-3524 · Fax 407-915-4387
Mailing address
1414 Nw 107th AveSweetwater, FL 33172-2732
Phone 786-762-2952
Other practice locations
725 N 12th Ave Bldg B
Arcadia, FL 34266-8752
Arcadia, FL 34266-8752
Phone 941-776-4000
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