| Joan Alice Carrillo, Ph.d. | |
|
7901 Sw 67th Ave 201 South Miami FL 33143-4538 | |
| (305) 666-7055 | |
| (786) 349-0144 |
| Full Name | Joan Alice Carrillo, Ph.d. |
|---|---|
| Speciality | Psychologist |
| Location | 7901 Sw 67th Ave, South Miami, Florida |
| Authorized Official Name and Position | Joan Alice Carrillo (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3056667055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joan Alice Carrillo, Ph.d. 7901 Sw 67th Ave 201 South Miami FL 33143-4538 Ph: (305) 666-7055 | Joan Alice Carrillo, Ph.d. 7901 Sw 67th Ave 201 South Miami FL 33143-4538 Ph: (305) 666-7055 |
| NPI Number | 1558717157 |
|---|---|
| Provider Enumeration Date | 05/12/2016 |
| Last Update Date | 05/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558717157 | NPI | - | NPPES |
| 73918 | Other | FL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (Florida) | Primary |
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