| Doctor Name: | MATHIEU KAMBURIAN |
| NPI Number: | 1003142167 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | PY7997 |
| Business Practice Address: | 1150 Hibiscus Dr Pembroke Pines, FL - 330254554 |
| Business Phone Number: | 9549676300 |
| Business Fax Number: | 9549676346 |
| Mailing Address: | 1150 Hibiscus Dr, PEMBROKE PINES |
| State: | FL |
| Postal Code: | 330254554 |
| Phone Number: | 9549676300 |
| Fax Number: | 9549676346 |
| NPI Enumeration Date: | 10/26/2009 |
| NPI Last Update Date: | 10/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY7997 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |