Provider Demographics
NPI:1780824730
Name:DELGADO, MAGALY (PSYD)
Entity Type:Individual
Prefix:
First Name:MAGALY
Middle Name:
Last Name:DELGADO
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 1:501 MEDICAL PLAZA DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-7324
Mailing Address - Country:US
Mailing Address - Phone:352-728-0709
Mailing Address - Fax:
Practice Address - Street 1:501 MEDICAL PLAZA DR
Practice Address - Street 2:SUITE 102
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-7324
Practice Address - Country:US
Practice Address - Phone:352-728-0709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-04
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 7723103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist