Loretdemola, Vivian Ana

Loretdemola, Vivian Ana is an sole proprietor health care provider with primary practice located at 3599 W. Lake Mary Blvd, Suite B2 , Lake Mary FL 32746. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Loretdemola, Vivian Ana can be contacted via phone (386) 675-7467.

Contact Information

Primary practice address
3599 W. Lake Mary Blvd, Suite B2 Lake Mary FL 32746
Phone: (386) 675-7467
Fax: (386) 256-3665
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY5437 Florida
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY5437 Florida

Profile Details

NPI number 1891201638
LBN Legal business name Loretdemola, Vivian Ana
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2017
Last updated Dec 15th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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