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Individual

DR. MIRTA N MATOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D11/03/

Contact information

Practice address
8525 SW 92ND ST STE B8, MIAMI, FL 33156-7374
(305) 596-9989
(305) 598-0220
Mailing address
8525 SW 92ND ST STE B8, MIAMI, FL 33156-7374
(305) 596-9989
(305) 598-0220

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY6454
FL

Other

Enumeration date
10/25/2007
Last updated
07/26/2021
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