Individual
DR. NATHALY SHOUA DESMARAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5400 S UNIVERSITY DR, SUITE 119, DAVIE, FL 33328-5312
(954) 600-9190
Mailing address
3000 SW 121ST AVE, DAVIE, FL 33330-1318
(954) 600-9190
(954) 473-4267
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY7955
FL
Other
Enumeration date
08/31/2009
Last updated
08/31/2009
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