Healthcare Provider Details

I. General information

NPI: 1932358686
Provider Name (Legal Business Name): MARIA KARILSHTADT-BYK PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2008
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10400 GRIFFIN ROAD STE 109
COOPER CITY FL
33328
US

IV. Provider business mailing address

1605 SW 108TH TER
DAVIE FL
33324-7171
US

V. Phone/Fax

Practice location:
  • Phone: 954-902-6140
  • Fax: 954-820-6597
Mailing address:
  • Phone: 305-778-5008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY 7791
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: