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Contact Information

EILEEN DA PENA, PSYD
2250 NW 114TH AVE
UNIT 1P, PTY 1457
MIAMI, FL33192
 Phone: 210-209-9188
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
Indicates primary specialty

NPI Profile & details for EILEEN DA PENA · (Female)

NPI # 1669613642
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 03/20/2009
Last updated 06/29/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 19674
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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