Most Relevant Information
Provider Data
| NPI Number: | 1003832262 |
| Provider Name: | LOURDES POLA PH D PSYCHOLOGIST |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | PY 005253 |
Most Important Dates
| Enumeration Date: | 07/14/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
6450 W 21ST CT
SUITE 207
HIALEAH
FL
330163946
Practice Location Phone/Fax
| Phone: | 3058269293 |
| Fax: |
Provider Mailing Location
6450 W 21ST CT
SUITE 207
HIALEAH
FL
330163946
Provider Mailing Phone/Fax
| Phone: | 3058269293 |
| Fax: |