Provider Demographics
NPI:1790823342
Name:ALONSO-MAHONEY, MARIA (PSYD)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:ALONSO-MAHONEY
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 1:12851 NW 6TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33182-1165
Mailing Address - Country:US
Mailing Address - Phone:305-968-4627
Mailing Address - Fax:
Practice Address - Street 1:12851 NW 6TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33182-1165
Practice Address - Country:US
Practice Address - Phone:305-968-4627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 6143103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical