Provider Demographics
NPI:1619586815
Name:VARGA, CLAIRE-MAIRE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE-MAIRE
Middle Name:
Last Name:VARGA
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 1:265 E ROLLINS ST # 6
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-5502
Mailing Address - Country:US
Mailing Address - Phone:407-821-3584
Mailing Address - Fax:407-821-3585
Practice Address - Street 1:265 E ROLLINS ST # 6
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-5502
Practice Address - Country:US
Practice Address - Phone:407-821-3584
Practice Address - Fax:407-821-3585
Is Sole Proprietor?:No
Enumeration Date:2020-07-24
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY10829103G00000X
CT003969103G00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103T00000XBehavioral Health & Social Service ProvidersPsychologist