Provider Demographics
NPI:1942912274
Name:ESTEVES, NAOMI (PSYD)
Entity Type:Individual
Prefix:DR
First Name:NAOMI
Middle Name:
Last Name:ESTEVES
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 1:5332 S 48TH ST
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53220-5013
Mailing Address - Country:US
Mailing Address - Phone:414-235-3152
Mailing Address - Fax:
Practice Address - Street 1:19225 US HIGHWAY 27
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34715-9025
Practice Address - Country:US
Practice Address - Phone:352-989-9322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3818-57103T00000X
WI6543-125101YP2500X
FLPY10567103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional