Doctor Name: | MS. MARSHA L DEAKTER |
NPI Number: | 1023131968 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS,LMHC |
License Number: | MH969 |
Business Practice Address: | Behavioral Health Group,pa 3700 Washington St. Ste. 304 Hollywood, FL - 330218258 |
Business Phone Number: | 9549611500 |
Business Fax Number: | 9549617942 |
Mailing Address: | 19500 Turnberry Way Ph F, AVENTURA |
State: | FL |
Postal Code: | 331802539 |
Phone Number: | 3059326578 |
Fax Number: | 3056921723 |
NPI Enumeration Date: | 04/07/2007 |
NPI Last Update Date: | 08/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH969 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |