Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0700X | Adult Development & Aging Psychologist | 10188 | FL |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 10188 | FL |
Y | 103G00000X | Clinical Psychologist | 10188 | FL |
Y | 103TC0700X | Clinical Psychologist | 10188 | FL |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 10188 | FL |
N | 103TF0000X | Family Psychologist | 10188 | FL |
N | 103TF0200X | Forensic Psychologist | 10188 | FL |
N | 103TH0100X | Health Service | 10188 | FL |
N | 103TM1800X | Intellectual & Developmental Disabilities | 10188 | FL |
N | 103TS0200X | School Psychologist | 10188 | FL |
NPI | 1487130282 |
---|---|
Provider Name | Dr. Shari-Ann Melissa Picart-Mullings |
First Address | Davie, FL 33328 |
Second Address | Plantation, FL 33317-2120 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2018 |
Last Update Date | 14/07/2018 |