Provider Demographics
NPI:1699034512
Name:ROSENFELD, HAICA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:HAICA
Middle Name:
Last Name:ROSENFELD
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 1:19300 W DIXIE HWY
Mailing Address - Street 2:SUITE 2
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2201
Mailing Address - Country:US
Mailing Address - Phone:305-401-2026
Mailing Address - Fax:
Practice Address - Street 1:19300 W DIXIE HWY
Practice Address - Street 2:SUITE 2
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2201
Practice Address - Country:US
Practice Address - Phone:305-401-2026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-12
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY8408103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical