Search › Florida › 103T00000X
Susana Vazquez Nieves, PSYD
NPI 1083953434 · on the registry since 2013 · sole proprietor
Practice
- Address
- 5270 Babcock St Ne Ste 1
Palm Bay, FL 32905 - Phone
- (321) 722-6301
- Fax
- (321) 722-5960
- Organisation at this address
- Brevard Health Alliance Inc
Brevard Health Alliance Inc
Brevard Health Alliance IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 25
Additional practice sites
- 4655 Caverns Dr, Kissimmee, FL
- 4655 Caverns Dr, Kissimmee, FL
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 101YM0800X
390200000X - Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida