Provider Demographics
NPI:1518048024
Name:KRYWINSKI, STEVEN EDWARD (PHD, LMHC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:EDWARD
Last Name:KRYWINSKI
Suffix:
Gender:M
Credentials:PHD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 MADRUGA AVE
Mailing Address - Street 2:STE 410
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-3019
Mailing Address - Country:US
Mailing Address - Phone:786-355-4051
Mailing Address - Fax:305-740-8103
Practice Address - Street 1:1550 MADRUGA AVE
Practice Address - Street 2:SUITE 410
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146
Practice Address - Country:US
Practice Address - Phone:786-355-4051
Practice Address - Fax:305-740-8103
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6199101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL78069160OtherHUMANA