Provider Demographics
NPI:1578628020
Name:HURWITZ, ABBE DALE (PSYCHOLOGIST)
Entity Type:Individual
Prefix:
First Name:ABBE
Middle Name:DALE
Last Name:HURWITZ
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 SW 73RD ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5151
Mailing Address - Country:US
Mailing Address - Phone:305-662-1725
Mailing Address - Fax:305-661-7559
Practice Address - Street 1:5900 SW 73RD ST
Practice Address - Street 2:SUITE 102
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5151
Practice Address - Country:US
Practice Address - Phone:305-662-1725
Practice Address - Fax:305-661-7559
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0004006103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical