Provider Demographics
NPI:1013508530
Name:ESCANDON, YULIET E (MMH, MED MPN, IMH)
Entity Type:Individual
Prefix:
First Name:YULIET
Middle Name:E
Last Name:ESCANDON
Suffix:
Gender:F
Credentials:MMH, MED MPN, IMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19940 SW 83RD AVE
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-2009
Mailing Address - Country:US
Mailing Address - Phone:954-329-9791
Mailing Address - Fax:
Practice Address - Street 1:6600 COW PEN RD
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-7600
Practice Address - Country:US
Practice Address - Phone:954-329-9791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-27
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty