Individual
DR. MARIAH ALISE MELISSA CORNEILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
9800 W COMMERCIAL BLVD, SUNRISE, FL 33351
(954) 475-5500
Mailing address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(305) 575-7000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY10317
FL
Other
Enumeration date
11/07/2018
Last updated
02/19/2019
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