Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dainery M. Fuentes, PHD

Organization Clinical Psychologist · NPI 1063953644

Dainery M. Fuentes, PHD is a Clinical Psychologist in Lakeland, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
Specialties on file
2

Practice location Address checks out

5304 S Florida Ave
Lakeland, FL 33813-4918
Phone: (863) 660-0218
Fax: (863) 774-0966
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY4076 (FL)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence PY4076 (FL)

Record details

NPI number1063953644
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dainery Fuentes — Director · (863) 660-0218
NPI enumeratedMarch 15, 2017
Last updated in NPPESMarch 15, 2017
Mailing address5304 S Florida Ave, Lakeland, FL 33813-4918

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