Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PY9981 | FL |
Y | 103T00000X | Psychologist | PY9981 | FL |
NPI | 1013426923 |
---|---|
Provider Name | Dr. Noreen Commella |
First Address | North Miami Beach, FL 33179-2537 |
Second Address | North Miami Beach, FL 33179-2537 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2017 |
Last Update Date | 17/03/2018 |