Most Relevant Information
Provider Data
| NPI Number: | 1003350141 |
| Provider Name: | CARLOS D SEGARRA M.A |
| Entity Type: | Individual |
| Taxonomy Code: | 103TS0200X |
| Specialty: | Psychologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/08/2016 |
| Last Updated: | 12/08/2016 |
Provider Practice Location
1028 E OSCEOLA PKWY
KISSIMMEE
FL
347441607
Practice Location Phone/Fax
| Phone: | 4077204651 |
| Fax: | 4077204690 |
Provider Mailing Location
4503 MACKENZIE WAY
KISSIMMEE
FL
347582165
Provider Mailing Phone/Fax
| Phone: | 7873676958 |
| Fax: |