IndividualActive
Vivian Loretdemola, PH.D
NPI 1891201638 · Psychologist · Lake Mary, FL
Provider details
- NPI number
- 1891201638
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D
- Sex
- Female
- Sole proprietor
- Yes
- License
- PY5437 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3599 W. Lake Mary Blvd, Suite B2
Lake Mary, FL 32746
Phone: (386) 675-7467
Fax: (386) 256-3665
Street-level locationGet directions
Mailing address
1502 N. Peninsula Drive
Daytona Beach, FL 32118
Registry dates
- Enumerated
- 2017-12-15
- Last updated
- 2017-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.