Individual
MIRANDA W SAMPATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1421 SE 4TH AVE FL 1, FORT LAUDERDALE, FL 33316-1900
(954) 616-5088
(954) 616-5147
Mailing address
1421 SE 4TH AVE FL 1, FORT LAUDERDALE, FL 33316-1900
(954) 616-5088
(954) 616-5147
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/16/2010
Last updated
01/16/2024
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