Individual provider · NPI-1

Dr. Carolina Isabel Alfonso, SS

Psychologist, School · Port Saint Lucie, FL

NPI number1366332801
StatusActive
Last updated in NPPESJul 7, 2025

Details

NPI
1366332801
Entity type
Individual (NPI-1)
Name
Dr. Carolina Isabel Alfonso
Credential
SS
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 7, 2025
Certification date
Jul 7, 2025
Last updated
Jul 7, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TS0200X Psychologist, SchoolSS749FLYes

Practice location

13521 Sw Margo Ter
Port Saint Lucie, FL 34987-5705

Phone 305-975-3734

Mailing address

13521 Sw Margo Ter
Port Saint Lucie, FL 34987-5705

Phone 305-975-3734

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