Provider Demographics
NPI:1992041073
Name:ESTEVEZ, CAROLINA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINA
Middle Name:
Last Name:ESTEVEZ
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 1:6068 S APOPKA VINELAND RD
Mailing Address - Street 2:#11
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-4449
Mailing Address - Country:US
Mailing Address - Phone:305-206-8663
Mailing Address - Fax:
Practice Address - Street 1:6068 S APOPKA VINELAND RD
Practice Address - Street 2:#11
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-4449
Practice Address - Country:US
Practice Address - Phone:305-206-8663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-18
Last Update Date:2014-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY8991103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist