Dr. Bertha Lucia Tavarez, Psy.D.
Psychologist, Clinical in Plantation, FL. Individual provider (NPI-1).
NPI number1801148317
StatusActive
Last updated in NPPESOct 8, 2012
Details
- NPI
- 1801148317
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bertha Lucia Tavarez
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 8, 2012
- Last updated
- Oct 8, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PY 8633 | FL | Yes |
Practice location
7449 Nw 4th StPlantation, FL 33317-2216
Phone 954-773-4146 · Fax 954-583-2260
Mailing address
7449 Nw 4th StPlantation, FL 33317-2216
Phone 954-773-4146 · Fax 954-583-2260
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