Individual
MARY I ISHII
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1800 NW 10TH AVE, RYDER TRAUMA CENTER - T331, MIAMI, FL 33136-1018
(305) 585-1428
Mailing address
1611 NW 12TH AVE, BOX 016960 (M851), MIAMI, FL 33136-1005
(305) 585-1428
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY5879
FL
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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