Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | PY 7479 | FL |
N | 103TC0700X | Clinical Psychologist | PY 7479 | FL |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PY 7479 | FL |
N | 103TP2701X | Group Psychotherapist | PY 7479 | FL |
NPI | 1104021831 |
---|---|
Provider Name | Dr. Mercedes Sanchez Reyes |
First Address | Miami, FL 33183-1328 |
Second Address | South Miami, FL 33143-5528 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2007 |
Last Update Date | 08/07/2007 |