Individual
DR. MARIDELIE DIAZ VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6405 NW 36TH ST. STE. 100, MIAMI, FL 33166
(305) 871-3131
Mailing address
6405 NW 36TH ST. STE. 100, MIAMI, FL 33166
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY9152
FL
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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