Healthcare Provider Details

I. General information

NPI: 1396450219
Provider Name (Legal Business Name): OASIS PSYCHOLOGICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2023
Last Update Date: 01/16/2023
Certification Date: 01/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 NE 163RD ST STE 303A
NORTH MIAMI BEACH FL
33162-4526
US

IV. Provider business mailing address

1211 NE 176TH TER
NORTH MIAMI BEACH FL
33162-1207
US

V. Phone/Fax

Practice location:
  • Phone: 305-494-1850
  • Fax:
Mailing address:
  • Phone: 305-494-1850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. DOVID KIRZNER
Title or Position: MANAGER
Credential: PSY.D.
Phone: 305-494-1850