Healthcare Provider Details

I. General information

NPI: 1851757462
Provider Name (Legal Business Name): MARIA DE LA CARIDAD ALVAREZ PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2016
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 CLAYTON ST
ORLANDO FL
32804-3600
US

IV. Provider business mailing address

900 CLAYTON ST
ORLANDO FL
32804-3600
US

V. Phone/Fax

Practice location:
  • Phone: 407-494-5288
  • Fax:
Mailing address:
  • Phone: 407-494-5288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number12346
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: