Healthcare Provider Details

I. General information

NPI: 1578628020
Provider Name (Legal Business Name): ABBE DALE HURWITZ PSYCHOLOGIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 SW 73RD ST SUITE 102
SOUTH MIAMI FL
33143-5151
US

IV. Provider business mailing address

5900 SW 73RD ST SUITE 102
SOUTH MIAMI FL
33143-5151
US

V. Phone/Fax

Practice location:
  • Phone: 305-662-1725
  • Fax: 305-661-7559
Mailing address:
  • Phone: 305-662-1725
  • Fax: 305-661-7559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY0004006
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: