Healthcare Provider Details

I. General information

NPI: 1902746563
Provider Name (Legal Business Name): NAYLET LAROCHELLE ED.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10661 N KENDALL DR STE 231
MIAMI FL
33176-1740
US

IV. Provider business mailing address

4945 SW 91ST AVE
MIAMI FL
33165-6663
US

V. Phone/Fax

Practice location:
  • Phone: 305-772-5385
  • Fax:
Mailing address:
  • Phone: 305-772-5385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberSS811
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: