Provider Demographics
NPI:1073643441
Name:MAUER, MAGALY (PHD)
Entity Type:Individual
Prefix:MRS
First Name:MAGALY
Middle Name:
Last Name:MAUER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8111 SW 78TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-3908
Mailing Address - Country:US
Mailing Address - Phone:305-279-0607
Mailing Address - Fax:
Practice Address - Street 1:1501 VENERA AVE
Practice Address - Street 2:SUITE 212
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-3032
Practice Address - Country:US
Practice Address - Phone:305-669-8911
Practice Address - Fax:305-669-6286
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY5319103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL59821AMedicare ID - Type Unspecified