Ayala-Feliciano, Michelle

Ayala-Feliciano, Michelle is an sole proprietor health care provider with primary practice located at 4400 W Spruce St Apt 105 , Tampa FL 33607-4147. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ayala-Feliciano, Michelle can be contacted via phone (787) 249-4600.

Contact Information

Primary practice address
4400 W Spruce St Apt 105 Tampa FL 33607-4147
Phone: (787) 249-4600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X PY 9045 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY 9045 Florida
Behavioral Health & Social Service Providers / Health 103TH0004X PY 9045 Florida
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PY 9045 Florida

Profile Details

NPI number 1790082501
LBN Legal business name Ayala-Feliciano, Michelle
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2011
Last updated Sep 17th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790082501 NPPES
Florida MEDICAID 1790082501

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