Provider Demographics
NPI:1760792618
Name:ABREU, VANJA BEATRIZ (PSYD)
Entity Type:Individual
Prefix:MRS
First Name:VANJA
Middle Name:BEATRIZ
Last Name:ABREU
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 1:1625 N. COMMERCE PARKWAY
Mailing Address - Street 2:SUITE 210
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326
Mailing Address - Country:US
Mailing Address - Phone:954-864-1290
Mailing Address - Fax:561-447-9614
Practice Address - Street 1:1625 N. COMMERCE PARKWAY
Practice Address - Street 2:SUITE 210
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326
Practice Address - Country:US
Practice Address - Phone:954-864-1290
Practice Address - Fax:561-447-9614
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-13
Last Update Date:2019-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY10440103T00000X
FLMH 7212101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103T00000XBehavioral Health & Social Service ProvidersPsychologist