Provider Demographics
NPI:1023131968
Name:DEAKTER, MARSHA L (MS,LMHC)
Entity type:Individual
Prefix:MS
First Name:MARSHA
Middle Name:L
Last Name:DEAKTER
Suffix:
Gender:F
Credentials:MS,LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19500 TURNBERRY WAY PH F
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2539
Mailing Address - Country:US
Mailing Address - Phone:305-932-6578
Mailing Address - Fax:305-692-1723
Practice Address - Street 1:19500 TURNBERRY WAY PH F
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180
Practice Address - Country:US
Practice Address - Phone:786-877-5800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-07
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH969101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health