Individual
DR. JAIME RAUL PICANOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
9370 SUNSET DR STE A213, MIAMI, FL 33173-5452
(305) 331-6011
(305) 242-5526
Mailing address
4128 NE 30TH ST, HOMESTEAD, FL 33033-5178
(305) 331-6011
(305) 242-5526
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9057
FL
103TF0200X
Forensic Psychologist
PY9057
FL
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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