Individual
MARIA VICTORIA IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
440 SAWGRASS CORPORATE PKWY STE 106, SUNRISE, FL 33325-6236
(954) 745-1112
Mailing address
822 BRIAR RIDGE RD, WESTON, FL 33327-1704
(754) 368-0822
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103TB0200X
—
FL
Enumeration date
05/17/2017
Last updated
05/17/2017
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