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NPI 1326216748

NPI 1326216748 : IVONNE MARIE FERRER PSY. D. : LADY LAKE, FL

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General NPI Number Information
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    NPI Number           |    1326216748
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    Entity Type          |    Individual 
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    Provider Name        |    IVONNE MARIE FERRER PSY. D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/19/2008
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    Last Update Date     |    07/27/2022
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Provider Practice Location Address
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    Address Line         |    929 N US HIGHWAY 441 STE 601 
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    City                 |    LADY LAKE
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    State                |    FL
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    Zip                  |    32159-3003
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    Country              |    US
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    Telephone            |    352-804-6100
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3819 SE 38TH LOOP 
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    City                 |    OCALA
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    State                |    FL
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    Zip                  |    34480
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    Country              |    US
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    Telephone            |    352-804-6100
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    1202
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    License Number State |    PR
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