Rodriguez, Kenia

Rodriguez, Kenia is an sole proprietor health care provider with primary practice located at 32 W Gore St , Orlando FL 32806-1134. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Rodriguez, Kenia can be contacted via phone (321) 841-3820.

Contact Information

Primary practice address
32 W Gore St Orlando FL 32806-1134
Phone: (321) 841-3820
Fax: (321) 843-6836
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY8149 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY8149 Florida

Profile Details

NPI number 1740598762
LBN Legal business name Rodriguez, Kenia
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2010
Last updated Mar 20th, 2020 - about 5 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 1740598762 NPPES
Florida MEDICAID N/A
Florida Other PY8149

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