| Marta Manrique-reichard, Ph. D., Inc. | |
|
5940 Sw 73rd St Suite 203 South Miami FL 33143-8700 | |
| (305) 669-0019 | |
| (305) 669-0029 |
| Full Name | Marta Manrique-reichard, Ph. D., Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 5940 Sw 73rd St, South Miami, Florida |
| Authorized Official Name and Position | Marta Elena Manrique-reichard (OWNER/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3056690019 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marta Manrique-reichard, Ph. D., Inc. 5940 Sw 73rd St Suite 203 South Miami FL 33143-8700 Ph: (305) 669-0019 | Marta Manrique-reichard, Ph. D., Inc. 5940 Sw 73rd St Suite 203 South Miami FL 33143-8700 Ph: (305) 669-0019 |
| NPI Number | 1508005869 |
|---|---|
| Provider Enumeration Date | 02/10/2009 |
| Last Update Date | 04/23/2009 |
| Medicare PECOS PAC ID | 0547318248 |
|---|---|
| Medicare Enrollment ID | O20090507000426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508005869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY5809 (Florida) | Primary |
| Provider Name | Marta Elena Manrique-reichard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821085713 PECOS PAC ID: 2769428200 Enrollment ID: I20050706000521 |
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