Most Relevant Information
Provider Data
| NPI Number: | 1003299462 |
| Provider Name: | ELIZABETH CARMEN PENELA PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 9177 |
Most Important Dates
| Enumeration Date: | 07/02/2015 |
| Last Updated: | 04/06/2023 |
Provider Practice Location
15800 PINES BLVD STE 340
PEMBROKE PINES
FL
330271212
Practice Location Phone/Fax
| Phone: | 9545772727 |
| Fax: |
Provider Mailing Location
15800 PINES BLVD STE 340
PEMBROKE PINES
FL
330271212
Provider Mailing Phone/Fax
| Phone: | 9545772727 |
| Fax: |