Julissa Fonseca

NPI #1528880937 in Viera, Florida

Provider Information

NPI Number: 1528880937
Entity Type: Individual
Name: Julissa Fonseca
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Enumeration Date: Oct 28, 2024
Last Updated: Oct 28, 2024

Practice Location

Address: 2900 VETERANS WAY
City: Viera
State: Florida
ZIP Code: 32940-8007
Phone: (321) 637-3788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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