Provider Demographics
NPI:1205273646
Name:MACALUSO, DINA (PSYD; LMHC)
Entity type:Individual
Prefix:DR
First Name:DINA
Middle Name:
Last Name:MACALUSO
Suffix:
Gender:F
Credentials:PSYD; LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3206 MORNING GLORY CT
Mailing Address - Street 2:APT 111
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-2749
Mailing Address - Country:US
Mailing Address - Phone:404-324-2274
Mailing Address - Fax:561-465-1628
Practice Address - Street 1:2976 S MILITARY TRL
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-9200
Practice Address - Country:US
Practice Address - Phone:561-465-1127
Practice Address - Fax:561-465-1628
Is Sole Proprietor?:No
Enumeration Date:2013-05-24
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional