Dainery M. Fuentes in Lakeland - Clinical
Dainery M. Fuentes - NPI 1104949452
Dainery M. Fuentes is a Clinical in Lakeland, Florida. Dainery M. Fuentes practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dainery M. Fuentes is 1104949452. The last update date is 2021-03-27.
Dainery M. Fuentes's current location address is 5897 Lake Victoria Dr, Lakeland, Florida. You can contact this provider via phone number 8636481812. The mailing address for Dainery M. Fuentes is 5897 Lake Victoria Dr, Lakeland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dainery M. Fuentes |
|---|---|
| Address | 5897 Lake Victoria Dr, Lakeland, Florida |
| Phone Number | 8636481812 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1104949452 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2021-03-27 |
Provider Mailing Address Detail
| Address | 5897 Lake Victoria Dr |
|---|---|
| City | Lakeland |
| State | Florida (FL) |
| Post Code | 338134711 |
| Phone Number | 8636481812 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY004076 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Dainery M. Fuentes by the Centers for Medicare & Medicaid Services?
The Dainery M. Fuentes has been assigned the NPI (National Provider Identifier) 1104949452. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Dainery M. Fuentes?
The Dainery M. Fuentes is physically situated at 5897 Lake Victoria Dr, in the city of Lakeland, state of FL, with the postal code 338134711.
What is the Dainery M. Fuentes's specialty and taxonomy code?
The Dainery M. Fuentes's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Dainery M. Fuentes receive the assignment of its 1104949452 from the Centers for Medicare & Medicaid Services?
The Dainery M. Fuentes was issued its 1104949452 by the Centers for Medicare & Medicaid Services on 2007-04-09.
As of what date was the information pertaining to Dainery M. Fuentes, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Dainery M. Fuentes, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-03-27.
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