Provider Demographics
NPI:1932645603
Name:VAZQUEZ, FRANCESCA (PSYD)
Entity Type:Individual
Prefix:
First Name:FRANCESCA
Middle Name:
Last Name:VAZQUEZ
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 1:2000 N BAYSHORE DR
Mailing Address - Street 2:APT 909
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-5108
Mailing Address - Country:US
Mailing Address - Phone:787-409-4039
Mailing Address - Fax:
Practice Address - Street 1:2000 N BAYSHORE DR
Practice Address - Street 2:APT 909
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-5108
Practice Address - Country:US
Practice Address - Phone:787-409-4039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-18
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9500103T00000X, 103TB0200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral