Provider Demographics
NPI:1720209505
Name:UMBEL, VIVIAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:VIVIAN
Middle Name:
Last Name:UMBEL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1581 BRICKELL AVENUE
Mailing Address - Street 2:APT. 1204
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33129-1237
Mailing Address - Country:US
Mailing Address - Phone:305-285-0097
Mailing Address - Fax:
Practice Address - Street 1:7600 S.W. 57 AVENUE
Practice Address - Street 2:SUITE 223
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5428
Practice Address - Country:US
Practice Address - Phone:305-669-0005
Practice Address - Fax:305-669-1581
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY4803103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist