MEDICARE: DR. KATIA A ARAUJO PSYD (THERAPIST)

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	390200000X	Student in an Organized Health Care Education/Training Program
2	101Y00000X	Counselor

General Provider Information

NPI Number	:	1346890043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATIA A ARAUJO PSYD (THERAPIST)

Provider Business Mailing Address
First Line	:	5235 NW 74TH TER
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33319-6339
Country	:	US
Telephone Number	:	954-260-1999
Fax Number	:	954-572-7165

Provider Business Practice Location Address
First Line	:	941 NE 19TH AVE STE 305
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33304-3071
Country	:	US
Telephone Number	:	954-260-1999
Fax Number	:

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

Provider Enumeration Date	:	09/13/2019
Last Update Date	:	09/13/2019

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