VIVIAN ANA LORETDEMOLA

LAKE MARY, FL
NPI1891201638
Professional NameVIVIAN ANA ROY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: FL  PY5437)
Additional Taxonomies103TC0700X Psychologist, Clinical
(Licence: FL  PY5437)
Enumeration Date2017-12-15
Last Update Date2017-12-15
Business Address
Dr. VIVIAN ANA LORETDEMOLA Ph.D
3599 W. LAKE MARY BLVD, SUITE B2
LAKE MARY, FL 32746
Phone number: 386-675-7467
Mailing Address
Dr. VIVIAN ANA LORETDEMOLA Ph.D
1502 N. PENINSULA DRIVE
DAYTONA BEACH, FL 32118
Phone number: 386-675-7467