Mindbody Connection | |
2875 Ne 191st St #538 Aventura FL 33180-2801 | |
(754) 300-9386 | |
(786) 923-0947 |
Full Name | Mindbody Connection |
---|---|
Speciality | Psychologist - Clinical |
Location | 2875 Ne 191st St, Aventura, Florida |
Authorized Official Name and Position | Mariam Dum (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 7865534546 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mindbody Connection 2121 Sw 3rd Ave 200 Miami FL 33129-1490 Ph: (786) 553-4546 | Mindbody Connection 2875 Ne 191st St #538 Aventura FL 33180-2801 Ph: (754) 300-9386 |
NPI Number | 1124364104 |
---|---|
Provider Enumeration Date | 12/20/2012 |
Last Update Date | 12/20/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124364104 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY 8498 (Florida) | Primary |
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