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NPI Code Detail

MEDICARE: ALINA MARIA CLAVIJO PH.D.

MEDICARE:   ALINA MARIA CLAVIJO  PH.D.
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
1103T00000XPsychologist20041364AIN
2103TB0200XCognitive & Behavioral PsychologistPY10403FL
3103TC1900XCounseling PsychologistPY10403FL
4103T00000XPsychologistPY10403FL

Other Identifiers

General Provider Information

NPI Number : 1396798351
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALINA MARIA CLAVIJO PH.D.
Provider Business Mailing Address
First Line : 7775 YARDLEY DRIVE
Second Line : APT. F 105
City : TAMARAC
State : FL
Zip : 33321-0849
Country : US
Telephone Number : 317-370-5017
Fax Number :
Provider Business Practice Location Address
First Line : 8362 SW 8TH ST.
Second Line :
City : MIAMI
State : FL
Zip : 33144-4180
Country : US
Telephone Number : 954-374-3636
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 05/07/2019

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Directions to “ ALINA MARIA CLAVIJO PH.D.” Practice Location

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