Provider Demographics
NPI:1578042875
Name:MYEROWITZ, MINDY
Entity Type:Individual
Prefix:
First Name:MINDY
Middle Name:
Last Name:MYEROWITZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7249 SAN SEBASTIAN DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-1018
Mailing Address - Country:US
Mailing Address - Phone:718-686-3139
Mailing Address - Fax:718-686-4149
Practice Address - Street 1:7249 SAN SEBASTIAN DR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-1018
Practice Address - Country:US
Practice Address - Phone:718-987-2893
Practice Address - Fax:718-686-4149
Is Sole Proprietor?:No
Enumeration Date:2018-08-08
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical