Provider Demographics
NPI:1265471601
Name:BILINGUAL PSYCHOLOGICAL SERVICES
Entity Type:Organization
Organization Name:BILINGUAL PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:AMANDA
Authorized Official - Last Name:GAZABON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:305-527-8094
Mailing Address - Street 1:3380 W 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-4350
Mailing Address - Country:US
Mailing Address - Phone:305-527-8094
Mailing Address - Fax:305-575-7133
Practice Address - Street 1:3380 W 4TH AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4350
Practice Address - Country:US
Practice Address - Phone:305-527-8094
Practice Address - Fax:305-575-7133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 7129103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty