Individual
DR. JULISSA ARTILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 825-0300
Mailing address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 825-0300
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY9047
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012639700
—
FL
Enumeration date
07/24/2014
Last updated
11/08/2018
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