Healthcare Provider Details

I. General information

NPI: 1073278685
Provider Name (Legal Business Name): HANNY V VERA PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2021
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2325 SW 128TH AVE
MIAMI FL
33175-1939
US

IV. Provider business mailing address

2325 SW 128TH AVE
MIAMI FL
33175-1939
US

V. Phone/Fax

Practice location:
  • Phone: 305-898-5424
  • Fax:
Mailing address:
  • Phone: 305-898-5424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY13214
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: