Individual
MARTA N MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
8525 SW 92ND ST, B-8, MIAMI, FL 33156-7365
(305) 598-8879
(305) 598-0220
Mailing address
8525 SW 92ND ST, B-8, MIAMI, FL 33156-7365
(305) 598-8879
(305) 598-0220
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6307
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54756
BLUECROSS BLUESHIELD PIN
FL
Enumeration date
10/26/2007
Last updated
11/16/2011
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