Healthcare Provider Details

I. General information

NPI: 1386577211
Provider Name (Legal Business Name): NATALIE ANN ESPINOSA PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 NW 12TH AVE # 3032
MIAMI FL
33136-1005
US

IV. Provider business mailing address

1601 NW 12TH AVE # 3032
MIAMI FL
33136-1005
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-0234
  • Fax:
Mailing address:
  • Phone: 305-243-0234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPY13212
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: