Provider Demographics
NPI:1477295822
Name:CADRECHE, MARINA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MARINA
Middle Name:
Last Name:CADRECHE
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 1:1250 S MIAMI AVE APT 2801
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-4121
Mailing Address - Country:US
Mailing Address - Phone:615-424-1591
Mailing Address - Fax:
Practice Address - Street 1:1250 S MIAMI AVE APT 2801
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-4121
Practice Address - Country:US
Practice Address - Phone:615-424-1591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-07
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6224103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty