Doctor Name: | JUSED GRACIELA MELIAN |
NPI Number: | 1013178607 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 440 Sawgrass Corporate Pkwy Sunrise, FL - 333256244 |
Business Phone Number: | 9547541112 |
Business Fax Number: | |
Mailing Address: | 440 Sawgrass Corporate Pkwy, SUNRISE |
State: | FL |
Postal Code: | 333256244 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/17/2008 |
NPI Last Update Date: | 06/17/2008 |
Replacement NPI: | 0 |
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NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |