NPI 1174724322 · live from the CMS NPI Registry
Danielle L Desantis, CP, LMFT
Psychologist, Clinical in Miami, FL. National Provider Identifier 1174724322, active.
NPI record
| NPI | 1174724322 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 480 Ne 31st St Unit 3102, Miami, FL 33137 |
| Practice phone | 401-371-0223 |
| Enumerated | May 29, 2007 |
| Last updated | February 22, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | PY11093 (FL) |
| Counselor | 101Y00000X | — |
| Psychologist, Clinical | 103TC0700X | PS01861 (RI) |
| Marriage & Family Therapist | 106H00000X | 00144 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.