| Doctor Name: | DR. NADEEN B MEDVIN |
| NPI Number: | 1982985453 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PY5624 |
| Business Practice Address: | 2000 S Dixie Hwy Suite # 103 Coconut Grove, FL - 331332456 |
| Business Phone Number: | 3058151129 |
| Business Fax Number: | |
| Mailing Address: | 1309 Obispo Ave, CORAL GABLES |
| State: | FL |
| Postal Code: | 331343511 |
| Phone Number: | 3058151129 |
| Fax Number: | |
| NPI Enumeration Date: | 08/29/2011 |
| NPI Last Update Date: | 08/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY5624 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |