Individual
MIRENTXU LEIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
25 SE 2ND AVE, STE 1240, MIAMI, FL 33131-1606
(305) 401-2085
Mailing address
4141 NAUTILUS DR, 7-H, MIAMI BEACH, FL 33140-2839
(305) 401-2085
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY5798
FL
Other
Enumeration date
09/28/2006
Last updated
08/15/2018
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