Provider Demographics
NPI:1134453574
Name:LABOY, YAMIR (PSYD)
Entity type:Individual
Prefix:
First Name:YAMIR
Middle Name:
Last Name:LABOY
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 1:3000 CORAL WAY
Mailing Address - Street 2:# 515
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33145-3243
Mailing Address - Country:US
Mailing Address - Phone:305-772-4513
Mailing Address - Fax:305-403-7505
Practice Address - Street 1:3000 CORAL WAY
Practice Address - Street 2:# 515
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33145-3243
Practice Address - Country:US
Practice Address - Phone:305-772-4513
Practice Address - Fax:305-403-7505
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-01
Last Update Date:2009-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7690103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical