Healthcare Provider Details

I. General information

NPI: 1457255002
Provider Name (Legal Business Name): BRIAN KRISTOPHER DASHNER PSY.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 SIERRA DR
MIAMI FL
33179-3855
US

IV. Provider business mailing address

816 NW 11TH ST APT 805
MIAMI FL
33136-3121
US

V. Phone/Fax

Practice location:
  • Phone: 786-472-6107
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPY13382
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: