Provider Demographics
NPI:1336458892
Name:MUSTELIER, MARGARITA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MARGARITA
Middle Name:
Last Name:MUSTELIER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8370 W FLAGLER ST
Mailing Address - Street 2:232
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2094
Mailing Address - Country:US
Mailing Address - Phone:305-551-9669
Mailing Address - Fax:305-551-5891
Practice Address - Street 1:8370 W FLAGLER ST
Practice Address - Street 2:232
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2094
Practice Address - Country:US
Practice Address - Phone:305-551-9669
Practice Address - Fax:305-551-5891
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-01
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 7540103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPY 7540OtherSTATE OF FLORIDA DEPARTMENT OF HEALTH LICENSE