Organization
LIANNE ACOSTA-GINART PSY D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIANNE ACOSTA-GINART PSY D (PRESIDENT)
(786) 942-6709
Entity
Organization
Contact information
Practice address
8020 SW 24TH ST, MIAMI, FL 33155-1225
(786) 942-6709
(305) 264-0253
Mailing address
PO BOX 441051, MIAMI, FL 33144-1051
(786) 942-6709
(305) 264-0253
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7501
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY7501
FLORIDA LICENSE
FL
Enumeration date
02/15/2008
Last updated
08/04/2008
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