Individual
MRS. MARCELA KITAIGORODSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D. PHD
Contact information
Practice address
1695 NW 9TH AVE, MIAMI, FL 33136-1409
(305) 355-9028
Mailing address
19993 NE 5TH CT, MIAMI, FL 33179-3005
(305) 218-1790
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY10193
FL
103TC0700X
Clinical Psychologist
10193
FL
103TR0400X
Rehabilitation Psychologist
10193
FL
Other
Enumeration date
07/23/2018
Last updated
06/16/2022
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