| Doctor Name: | DR. AILEEN MARLENY MENDOZA-FERNANDEZ |
| NPI Number: | 1003058470 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D |
| License Number: | PY7893 |
| Business Practice Address: | 2655 S Le Jeune Rd #530 Coral Gables, FL - 331345832 |
| Business Phone Number: | 3052979445 |
| Business Fax Number: | 3052693989 |
| Mailing Address: | 94 Sw 81st Ave, MIAMI |
| State: | FL |
| Postal Code: | 331442128 |
| Phone Number: | 3052979445 |
| Fax Number: | 3052693989 |
| NPI Enumeration Date: | 04/01/2009 |
| NPI Last Update Date: | 04/01/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY7893 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |