Individual
DR. MARIE URANIE BOURSIQUOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2925 10TH AVE N, SUITE 301-C, PALM SPRINGS, FL 33461-3000
(561) 433-8123
(561) 433-8011
Mailing address
2925 10TH AVE N, SUITE 301-C, PALM SPRINGS, FL 33461-3000
(561) 433-8123
(561) 433-8011
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PY6933
FL
103TC0700X
Clinical Psychologist
Primary
PY6933
FL
103TC2200X
Clinical Child & Adolescent Psychologist
PY6933
FL
103TS0200X
School Psychologist
PY6933
FL
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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