Mariesarah Kristelle Malval
Psychologist in Miami, FL. Individual provider (NPI-1).
NPI number1164032488
StatusActive
Last updated in NPPESOct 29, 2025
Details
- NPI
- 1164032488
- Entity type
- Individual (NPI-1)
- Name
- Mariesarah Kristelle Malval
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 1, 2020
- Certification date
- Oct 29, 2025
- Last updated
- Oct 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | SS1493 | FL | Yes |
| 103TS0200X | Psychologist, School | SS1493 | FL |
Practice location
11831 Sw 102nd StMiami, FL 33186-2748
Phone 786-205-3703
Mailing address
11831 Sw 102nd StMiami, FL 33186-2748
Phone 786-205-3703
Other practice locations
4812 Sw 74th Ct # 3
Miami, FL 33155-4448
Miami, FL 33155-4448
Phone 786-529-8378 · Fax 786-400-2134
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