MEDICARE: REBECA FERRER 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	PY7905	FL

General Provider Information

NPI Number	:	1710119185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECA FERRER PSY.D.

Provider Business Mailing Address
First Line	:	3939 HARDIE AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-6437
Country	:	US
Telephone Number	:	786-546-2115
Fax Number	:

Provider Business Practice Location Address
First Line	:	3939 HARDIE AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-6437
Country	:	US
Telephone Number	:	786-546-2115
Fax Number	:

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

Provider Enumeration Date	:	08/18/2009
Last Update Date	:	08/18/2009

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