Individual
MARTA MANRIQUE-REICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5940 SW 73RD ST, SUITE 203, SOUTH MIAMI, FL 33143-8700
(305) 669-0019
(305) 669-0029
Mailing address
5940 SW 73RD ST, SUITE 203, SOUTH MIAMI, FL 33143-8700
(305) 669-0019
(305) 669-0029
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 5809
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54444X
MEDICARE
FL
Enumeration date
10/05/2005
Last updated
04/19/2021
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