Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ||
Y | 103G00000X | Clinical Psychologist | 06603 | MD |
Y | 103TC0700X | Clinical Psychologist | 06603 | MD |
NPI | 1376701474 |
---|---|
Provider Name | Dr. Joanna Sells |
First Address | Miami, FL 33125-1624 |
Second Address | Miami, FL 33125-1624 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2008 |
Last Update Date | 04/12/2021 |