MEDICARE: DR. STELLA M. VERNA PH.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	101YM0800X	Mental Health Counselor	0205512	FL

General Provider Information

NPI Number	:	1841333978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STELLA M. VERNA PH.D.

Provider Business Mailing Address
First Line	:	14707 S DIXIE HWY
Second Line	:	SUITE # 317
City	:	MIAMI
State	:	FL
Zip	:	33176-7948
Country	:	US
Telephone Number	:	305-254-9600
Fax Number	:	305-662-9889

Provider Business Practice Location Address
First Line	:	14707 S DIXIE HWY
Second Line	:	SUITE # 317
City	:	MIAMI
State	:	FL
Zip	:	33176-7948
Country	:	US
Telephone Number	:	305-254-9600
Fax Number	:	305-662-9889

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

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	02/24/2014

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