MEDICARE: MS. MARIA FERNANDA LONDONO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker
2	222Q00000X	Developmental Therapist
3	1041C0700X	Clinical Social Worker	68702	TX

General Provider Information

NPI Number	:	1275719247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARIA FERNANDA LONDONO

Provider Business Mailing Address
First Line	:	9707 SOTHERLOCH LAKE DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-3687
Country	:	US
Telephone Number	:	305-399-6086
Fax Number	:

Provider Business Practice Location Address
First Line	:	9707 SOTHERLOCH LAKE DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-3687
Country	:	US
Telephone Number	:	305-399-6086
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2008
Last Update Date	:	06/12/2026

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Directions to “ MS. MARIA FERNANDA LONDONO ” Practice Location

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