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

Individual provider Clinical Psychologist · NPI 1891201638

Dr. Vivian Ana Loretdemola, PHD is a Clinical Psychologist in Lake Mary, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2017
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3599 W Lake Mary Blvd Ste B2
Lake Mary, FL 32746
Phone: (386) 675-7467
Fax: (386) 256-3665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY5437 (FL)
Clinical Psychologist Taxonomy 103TC0700X · Licence PY5437 (FL)

Record details

NPI number1891201638
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedDecember 15, 2017
Last updated in NPPESDecember 15, 2017

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