Yulissa Fundora, LMHC, PSYD is a
Psychologist - Clinical based in Pembroke Pines, Florida. Yulissa Fundora is licensed to practice in Florida (license number PY10407) and her current practice location is
11529 Sw 13th Ct, Pembroke Pines, Florida. She can be reached at her office (for appointments etc.) via phone at
(786) 378-0556.
NPI number for Yulissa Fundora is 1831419340 and her current mailing address is 11529 Sw 13th Ct, Pembroke Pines, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831419340.
Healthcare Provider's Profile
| Full Name | Yulissa Fundora |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
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| Location | 11529 Sw 13th Ct, Pembroke Pines, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831419340
- Provider Enumeration Date: 06/07/2010
- Last Update Date: 03/15/2019
Medical Identifiers
Medical identifiers for Yulissa Fundora such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1831419340 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | MH11719 (Florida) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY10407 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Yulissa Fundora is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Yulissa Fundora, LMHC, PSYD 11529 Sw 13th Ct, Pembroke Pines, FL 33025-4811 Ph: (786) 378-0556 | Yulissa Fundora, LMHC, PSYD 11529 Sw 13th Ct, Pembroke Pines, FL 33025-4811 Ph: (786) 378-0556 |
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