Individual provider · Type 1 NPI
Vivian Ana Loretdemola, PhD
Psychologist · Lake Mary, FL
Practice location
3599 W. Lake Mary Blvd, Suite B2
Lake Mary, FL 32746
Fax (386) 256-3665
Mailing address
1502 N. Peninsula Drive
Daytona Beach, FL 32118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist | 103TC0700X | PY5437 (FL) |
| Psychologist Primary | 103T00000X | PY5437 (FL) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
Other psychologist providers in Lake Mary
About NPI 1891201638
Vivian Ana Loretdemola, PhD's National Provider Identifier is 1891201638, issued on Dec 15, 2017. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Lake Mary, FL. The record was last updated on Dec 15, 2017.