Provider Demographics
NPI:1275623076
Name:CORVEA, MARTHA HAYDEE (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARTHA
Middle Name:HAYDEE
Last Name:CORVEA
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Gender:F
Credentials:PHD
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Mailing Address - Street 1:MIAMI VA MEDICAL CENTER - PSYCHOLOGY SERVICES
Mailing Address - Street 2:1201 NW 16TH ST., 116B
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125
Mailing Address - Country:US
Mailing Address - Phone:305-575-7000
Mailing Address - Fax:305-575-7010
Practice Address - Street 1:1201 NW 16TH ST
Practice Address - Street 2:PSYCHOLOGY SERVICES 116B
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-1624
Practice Address - Country:US
Practice Address - Phone:305-575-7000
Practice Address - Fax:305-575-7010
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPY4295103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical