Individual
DR. MARY T DIAZ GRANADOS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2135 SW 8TH ST, MIAMI, FL 33135-3319
(305) 541-4900
(305) 541-1199
Mailing address
3523 SW 23RD ST, MIAMI, FL 33145-3018
(786) 282-0736
(305) 541-1199
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
PY0000004
FL
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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