Provider Demographics
NPI:1083099964
Name:ARAYA, IVETTE (MED)
Entity Type:Individual
Prefix:
First Name:IVETTE
Middle Name:
Last Name:ARAYA
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 1:1551 ELM AVE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-2012
Mailing Address - Country:US
Mailing Address - Phone:407-353-7871
Mailing Address - Fax:
Practice Address - Street 1:1551 ELM AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-2012
Practice Address - Country:US
Practice Address - Phone:407-353-7871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-21
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health