Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AIDA ASON VIVANCO
Active Sole ProprietorHealth Psychologist · DORAL, FL
Registration Details
- NPI Number
- 1366972663
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 19, 2017 (8.8386885551271 yrs)
- Last Updated
- Aug 12, 2024
- License
-
IMH7588 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8175 NW 12TH ST STE 119DORAL, FL, 331261828Browse FL providers · Browse ZIP 33126
- Phone
- 7863625981
- Primary Specialty
-
Health Psychologist
103TH0004X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.