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Individual

DR. GINA MELANIE HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
19195 MYSTIC POINTE DR APT 1701 BLDG 100, AVENTURA, FL 33180-4507
(954) 966-4447
(305) 936-0005
Mailing address
19195 MYSTIC POINTE DR APT 1701 BLDG 100, AVENTURA, FL 33180-4507
(954) 966-4447
(305) 936-0005

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY0003194
FL

Other

Enumeration date
04/20/2007
Last updated
07/08/2007
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