Dr Vivian Ana Loretdemola, PHD - Psychologist in Lake Mary, FL

Dr Vivian Ana Loretdemola, PHD is a Psychologist based in Lake Mary, Florida. Dr Vivian Ana Loretdemola is licensed to practice in Florida (license number PY5437) and her current practice location is 3599 W. Lake Mary Blvd, Suite B2, Lake Mary, Florida. She can be reached at her office (for appointments etc.) via phone at (386) 675-7467.

NPI number for Dr Vivian Ana Loretdemola is 1891201638 and her current mailing address is 1502 N. Peninsula Drive, Daytona Beach, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891201638.

Contact Information

Dr Vivian Ana Loretdemola, PHD
3599 W. Lake Mary Blvd, Suite B2,
Lake Mary, FL 32746
(386) 675-7467
(386) 256-3665

Map and Direction




Healthcare Provider's Profile

Full NameDr Vivian Ana Loretdemola
GenderFemale
SpecialityPsychologist
Location3599 W. Lake Mary Blvd, Suite B2, Lake Mary, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1891201638
  • Provider Enumeration Date: 12/15/2017
  • Last Update Date: 12/15/2017

Medical Identifiers

Medical identifiers for Dr Vivian Ana Loretdemola such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891201638NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY5437 (Florida)Secondary
103T00000XPsychologist PY5437 (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. Dr Vivian Ana Loretdemola 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 AddressPractice Location Address
Dr Vivian Ana Loretdemola, PHD
1502 N. Peninsula Drive,
Daytona Beach, FL 32118

Ph: (386) 675-7467
Dr Vivian Ana Loretdemola, PHD
3599 W. Lake Mary Blvd, Suite B2,
Lake Mary, FL 32746

Ph: (386) 675-7467

Reviews and Comments


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