Organization
GATEWELL THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY ROSENFELD PHD (PSYCHOLOGIST/OWNER)
(305) 846-9370
Entity
Organization
Contact information
Practice address
4601 PONCE DE LEON BLVD, SUITE 260, CORAL GABLES, FL 33146-2111
(305) 846-9370
Mailing address
4601 PONCE DE LEON BLVD, SUITE 260, CORAL GABLES, FL 33146-2111
(305) 846-9370
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 9153
FL
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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