Vazquez, Denise A
Vazquez, Denise A is an sole proprietor health care provider with primary practice located at 1001 North Federal Highway Suite 363 , Hallandale FL 33009-2407. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Vazquez, Denise A can be contacted via phone (954) 228-5603.Contact Information
Primary practice address
1001 North Federal Highway Suite 363
Hallandale FL 33009-2407
Phone: (954) 228-5603
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6300 | Florida |
Profile Details
| NPI number | 1962640003 |
|---|---|
| LBN Legal business name | Vazquez, Denise A |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 2009 |
| Last updated | Oct 24th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962640003 | NPPES |
| Florida | MEDICAID | 766810400 |
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