Provider Demographics
NPI:1023632130
Name:KIRZNER, DOVID (PSYD)
Entity type:Individual
Prefix:DR
First Name:DOVID
Middle Name:
Last Name:KIRZNER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 NE 176TH TER
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-1207
Mailing Address - Country:US
Mailing Address - Phone:305-494-1850
Mailing Address - Fax:
Practice Address - Street 1:17501 BISCAYNE BLVD STE 450
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33160-4806
Practice Address - Country:US
Practice Address - Phone:305-494-1850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-04
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY10421103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical