Healthcare Provider Details

I. General information

NPI: 1336458892
Provider Name (Legal Business Name): MARGARITA MUSTELIER PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2010
Last Update Date: 10/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8370 W FLAGLER ST 232
MIAMI FL
33144-2094
US

IV. Provider business mailing address

8370 W FLAGLER ST 232
MIAMI FL
33144-2094
US

V. Phone/Fax

Practice location:
  • Phone: 305-551-9669
  • Fax: 305-551-5891
Mailing address:
  • Phone: 305-551-9669
  • Fax: 305-551-5891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY 7540
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: