Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 34663 | TX |
N | 103TC0700X | Clinical Psychologist | 34663 | TX |
N | 103G00000X | Clinical Psychologist | PY9455 | FL |
N | 103TC0700X | Clinical Psychologist | PY9455 | FL |
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PY9455 | FL |
N | 2084N0402X | Child Neurologist | PY9455 | FL |
NPI | 1316266885 |
---|---|
Provider Name | Reshma Babra Naidoo |
First Address | Miami, FL 33155-3009 |
Second Address | Miami, FL 33155-3009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2010 |
Last Update Date | 27/03/2020 |