Organization
MINDBODY CONNECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIAM DUM PH.D. (CLINICAL PSYCHOLOGIST)
(786) 553-4546
Entity
Organization
Contact information
Practice address
2875 NE 191ST ST, #538, AVENTURA, FL 33180-2801
(754) 300-9386
(786) 923-0947
Mailing address
2121 SW 3RD AVE, 200, MIAMI, FL 33129-1490
(786) 553-4546
(786) 923-0947
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 8498
FL
Other
Enumeration date
12/20/2012
Last updated
12/20/2012
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