Basic Information
Provider Information
NPI: 1891099651
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BRESCIAN
FirstName: NATALIE
MiddleName: ERIN
NamePrefix: DR.
NameSuffix:  
Credential: PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1915 BRICKELL AVE
Address2: C909
City: MIAMI
State: FL
PostalCode: 331291736
CountryCode: US
TelephoneNumber: 3039185538
FaxNumber:  
Practice Location
Address1: 1201 NW 16TH ST
Address2: 116B
City: MIAMI
State: FL
PostalCode: 331251624
CountryCode: US
TelephoneNumber: 3055757000
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/07/2011
LastUpdateDate: 01/07/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC1900X  Y Behavioral Health & Social Service ProvidersPsychologistCounseling

No ID Information.


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