Individual
DR. NATASHA L POULOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1695 NW 9TH AVE, MIAMI, FL 33136-1409
(305) 355-8256
Mailing address
1695 NW 9TH AVE, MIAMI, FL 33136-1409
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY10890
FL
103TC0700X
Clinical Psychologist
Primary
PY10890
FL
Other
Enumeration date
09/14/2020
Last updated
02/18/2021
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