Individual
IVANNA JULIUSBURGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(395) 575-7000
Mailing address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(305) 575-7000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY12012
FL
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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