Individual
MAYRA M. MIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
11401 SW 40TH ST, SUITE 207, MIAMI, FL 33165-3372
(305) 807-9119
(305) 445-9045
Mailing address
20 SIDONIA AVE, APT. 3, CORAL GABLES, FL 33134-3438
(305) 807-9119
(305) 445-9045
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 7369
FL
Other
Enumeration date
10/25/2006
Last updated
11/07/2012
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