Individual
SUSAN ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7700 N KENDALL DR, SUITE 200, MIAMI, FL 33156-7564
(305) 349-3631
Mailing address
10221 SW 132ND AVE, MIAMI, FL 33186-2349
(305) 298-2252
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY8453
FL
Other
Enumeration date
12/15/2011
Last updated
12/27/2016
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