DR. VIVIAN ANA LORETDEMOLA PH.D
NPI 1891201638
Psychologist in Lake Mary, FL

Active since December 15, 2017
3599 W. LAKE MARY BLVD, SUITE B2, LAKE MARY, FL 32746(386) 675-7467(386) 256-3665 Get Directions Write a Review

NPPES record last updated: December 15, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Vivian Ana Loretdemola Ph.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VIVIAN ANA LORETDEMOLA PH.D (NPI 1891201638) is an individual psychologist in Lake Mary, Florida, licensed in Florida (PY5437) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1891201638
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. VIVIAN ANA LORETDEMOLACredential: PH.D
Location Address3599 W. LAKE MARY BLVD, SUITE B2Lake Mary, FL 32746
Mailing Address1502 N. Peninsula DriveDaytona Beach, FL 32118 · (386) 675-7467 · Fax (386) 256-3665
Fax(386) 256-3665
Sole ProprietorYes
Enumeration DateDecember 15, 2017
NPI 1891201638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in FL · PY5437
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PY5437 (FL)
3599 W. LAKE MARY BLVD, SUITE B2, Lake Mary, FL 32746

Other Names 1

Professional Name (2)Dr. Vivian Ana Roy Ph.d.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vivian Loretdemola's NPI number?

The NPI number for Vivian Loretdemola is 1891201638. It was assigned to this individual provider in the NPPES registry on December 15, 2017. The provider is also known as Dr. Vivian Ana Roy Ph.D..

Where is Vivian Loretdemola located?

Vivian Loretdemola practices at 3599 W. Lake Mary Blvd, Suite B2, Lake Mary, FL 32746. The listed phone number is (386) 675-7467.

What is Vivian Loretdemola's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Vivian Loretdemola was last updated on December 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.