Provider Demographics
NPI:1063653699
Name:LOUREDA, YOLANDA (MED)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:
Last Name:LOUREDA
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22388 PALOMITA DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-6176
Mailing Address - Country:US
Mailing Address - Phone:561-852-0271
Mailing Address - Fax:
Practice Address - Street 1:22388 PALOMITA DR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-6176
Practice Address - Country:US
Practice Address - Phone:561-852-0271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-11
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health