Healthcare Provider Details

I. General information

NPI: 1366738460
Provider Name (Legal Business Name): SANAA MRABET PSY.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2011
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 S DIXIE HWY STE 4L
CORAL GABLES FL
33146-2232
US

IV. Provider business mailing address

420 S DIXIE HWY STE 4L
CORAL GABLES FL
33146-2232
US

V. Phone/Fax

Practice location:
  • Phone: 954-465-1633
  • Fax:
Mailing address:
  • Phone: 954-465-1633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY9838
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: