Individual
MARIESARAH KRISTELLE MALVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11831 SW 102ND ST, MIAMI, FL 33186-2748
(786) 205-3703
Mailing address
11831 SW 102ND ST, MIAMI, FL 33186-2748
(786) 205-3703
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
SS1493
FL
103TS0200X
School Psychologist
SS1493
FL
Other
Enumeration date
08/01/2020
Last updated
10/29/2025
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