Individual
DR. GEYSHA M MENENDEZ-MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
9570 SW 107TH AVE, SUITE 202C, MIAMI, FL 33176
(786) 391-1383
(786) 391-1384
Mailing address
9570 SW 107TH AVE, SUITE 202C, MIAMI, FL 33176-2788
(786) 391-1383
(786) 391-1384
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6744
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH4680
LIC MENTAL HEALTH
FL
01
—
PH6744
PSYCHOLOGIST
FL
Enumeration date
11/17/2006
Last updated
08/17/2018
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