MEDICARE: DR. NADIA MATI MAHABIR

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
1	103TS0200X	School Psychologist	SS 932	FL

General Provider Information

NPI Number	:	1275852865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NADIA MATI MAHABIR

Provider Business Mailing Address
First Line	:	18 NE 9TH ST
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33444-4038
Country	:	US
Telephone Number	:	786-246-4156
Fax Number	:

Provider Business Practice Location Address
First Line	:	18 NE 9TH ST
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33444-4038
Country	:	US
Telephone Number	:	786-246-4156
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2010
Last Update Date	:	05/22/2010

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