Provider Demographics
NPI:1952491318
Name:VIERA, OLGA MARINA (PSYD, LMHC)
Entity Type:Individual
Prefix:DR
First Name:OLGA
Middle Name:MARINA
Last Name:VIERA
Suffix:
Gender:F
Credentials:PSYD, LMHC
Other - Prefix:DR
Other - First Name:OLGA
Other - Middle Name:MARINA
Other - Last Name:RIVERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD, LMHC
Mailing Address - Street 1:5448 HOFFNER AVE STE 307
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32812-2508
Mailing Address - Country:US
Mailing Address - Phone:407-930-7317
Mailing Address - Fax:407-850-8142
Practice Address - Street 1:5448 HOFFNER AVE STE 307
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32812-2508
Practice Address - Country:US
Practice Address - Phone:407-930-7317
Practice Address - Fax:407-850-8142
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3152101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health