Provider Demographics
NPI:1750658878
Name:MANSUR-USHER, SABELLA (PSYS, NCSP, ABSNP)
Entity Type:Individual
Prefix:MS
First Name:SABELLA
Middle Name:
Last Name:MANSUR-USHER
Suffix:
Gender:F
Credentials:PSYS, NCSP, ABSNP
Other - Prefix:
Other - First Name:SABELLA
Other - Middle Name:
Other - Last Name:MANSUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15499 MIAMI LAKEWAY N APT 206
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-5536
Mailing Address - Country:US
Mailing Address - Phone:305-494-9974
Mailing Address - Fax:
Practice Address - Street 1:15499 MIAMI LAKEWAY N APT 208
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-5536
Practice Address - Country:US
Practice Address - Phone:305-494-9974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-17
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSS1271103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool