Provider Demographics
NPI:1881926855
Name:RODRIGUEZ, ALDO IVAN (LMFT)
Entity type:Individual
Prefix:MR
First Name:ALDO
Middle Name:IVAN
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5305 HANSEL AVE
Mailing Address - Street 2:D-3
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-3413
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5305 HANSEL AVE
Practice Address - Street 2:D-3
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-3413
Practice Address - Country:US
Practice Address - Phone:407-257-4921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-02
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2413106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist