Individual
NATALIE ESCOBIO BUSTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4601 PONCE DE LEON BLVD, SUITE 310, CORAL GABLES, FL 33146-2111
(305) 894-6754
Mailing address
10351 SW 13TH ST, MIAMI, FL 33174-2714
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9388
FL
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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