MEDICARE: DR. SANAA MRABET 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
1	103TC0700X	Clinical Psychologist	PY9838	FL

General Provider Information

NPI Number	:	1366738460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANAA MRABET PSY.D

Provider Business Mailing Address
First Line	:	420 S DIXIE HWY STE 4L
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-2232
Country	:	US
Telephone Number	:	954-465-1633
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 S DIXIE HWY STE 4L
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-2232
Country	:	US
Telephone Number	:	954-465-1633
Fax Number	:

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

Provider Enumeration Date	:	06/27/2011
Last Update Date	:	03/17/2018

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