Individual provider · NPI-1

Dr. Vanessa Coronado, PSY

Psychologist, Clinical · Doral, FL

NPI number1104408855
StatusActive
Last updated in NPPESMar 8, 2023

Details

NPI
1104408855
Entity type
Individual (NPI-1)
Name
Dr. Vanessa Coronado
Credential
PSY
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 22, 2021
Certification date
Mar 8, 2023
Last updated
Mar 8, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, ClinicalPMH1758FLYes

Practice location

7875 Nw 107th Ave
Doral, FL 33178-4418

Phone 786-530-7708

Mailing address

7875 Nw 107th Ave
Doral, FL 33178-4418

Phone 786-530-7708

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