MEDICARE: DR MARCELLA HURTIG & ASSOCIATES PA

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	103T00000X	Psychologist	PY 9136	FL

General Provider Information

NPI Number	:	1871997858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR MARCELLA HURTIG & ASSOCIATES PA

Provider Business Mailing Address
First Line	:	8215 SW 72ND AVE APT 421
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33143-7783
Country	:	US
Telephone Number	:	786-385-4334
Fax Number	:

Provider Business Practice Location Address
First Line	:	1055 PALM AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-4008
Country	:	US
Telephone Number	:	786-385-4334
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MARCELA CARRANZA
Credential	:	PSY.D.
Telephone Number	:	786-385-4334

Provider Enumeration Date	:	10/20/2014
Last Update Date	:	01/07/2020

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