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NPI Code Detail

MEDICARE: DR. MARIA BETINA DE SOUZA PSY D

MEDICARE:  DR. MARIA BETINA DE SOUZA  PSY D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPY 9085FL

General Provider Information

NPI Number : 1245633478
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIA BETINA DE SOUZA PSY D
Provider Business Mailing Address
First Line : 4500 BISCAYNE BLVD STE 202
Second Line :
City : MIAMI
State : FL
Zip : 33137-3227
Country : US
Telephone Number : 305-571-9090
Fax Number : 305-571-7800
Provider Business Practice Location Address
First Line : 4500 BISCAYNE BLVD STE 202
Second Line :
City : MIAMI
State : FL
Zip : 33137-3227
Country : US
Telephone Number : 305-571-9090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2014
Last Update Date : 09/10/2019

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Directions to “ DR. MARIA BETINA DE SOUZA PSY D” Practice Location

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