Provider Demographics
NPI:1578868493
Name:VILLAR-LOUBET, OLGA MARIA (PSYD)
Entity Type:Individual
Prefix:MRS
First Name:OLGA
Middle Name:MARIA
Last Name:VILLAR-LOUBET
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5883 SW 27TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-3134
Mailing Address - Country:US
Mailing Address - Phone:305-519-4666
Mailing Address - Fax:
Practice Address - Street 1:1400 NW 10TH AVE
Practice Address - Street 2:SUITE 404 (D-80)
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1000
Practice Address - Country:US
Practice Address - Phone:305-519-4666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-25
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 8216103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical