Organization
PSYCHONLINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NIRAV DALAL (CEO)
(617) 775-3429
Entity
Organization
Contact information
Practice address
7950 NW 53RD ST STE 337, MIAMI, FL 33166-4791
(305) 990-2686
Mailing address
7950 NW 53RD ST STE 337, MIAMI, FL 33166-4791
(305) 990-2686
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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