Provider Demographics
NPI:1639122203
Name:PRADO, HAYDEE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:HAYDEE
Middle Name:
Last Name:PRADO
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 1:8550 W FLAGLER ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2037
Mailing Address - Country:US
Mailing Address - Phone:305-551-5787
Mailing Address - Fax:305-551-5786
Practice Address - Street 1:8550 W FLAGLER ST
Practice Address - Street 2:SUITE 105
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2037
Practice Address - Country:US
Practice Address - Phone:305-551-5787
Practice Address - Fax:305-551-5786
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY3450103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist