Provider Demographics
NPI:1265692370
Name:PEREIRA, MARIA DOLORES (MSW)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:DOLORES
Last Name:PEREIRA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7014 ALISO AVE
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33413-1066
Mailing Address - Country:US
Mailing Address - Phone:561-315-2132
Mailing Address - Fax:
Practice Address - Street 1:7014 ALISO AVE
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33413-1066
Practice Address - Country:US
Practice Address - Phone:561-315-2132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW 5123101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health