Provider Demographics
NPI:1750980884
Name:JIMENEZ, GIHANNA BARBARA (PHD)
Entity type:Individual
Prefix:DR
First Name:GIHANNA
Middle Name:BARBARA
Last Name:JIMENEZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7301 SW 57TH CT STE 565
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5334
Mailing Address - Country:US
Mailing Address - Phone:305-793-1837
Mailing Address - Fax:
Practice Address - Street 1:7301 SW 57TH CT STE 565
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5334
Practice Address - Country:US
Practice Address - Phone:305-793-1837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSS1161103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty