Provider Demographics
NPI:1053180364
Name:AIBEL, AUSTIN (PSYD)
Entity type:Individual
Prefix:DR
First Name:AUSTIN
Middle Name:
Last Name:AIBEL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 EDGEWATER DR APT 8G
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33133-6965
Mailing Address - Country:US
Mailing Address - Phone:305-505-4924
Mailing Address - Fax:
Practice Address - Street 1:10 EDGEWATER DR APT 8G
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33133-6965
Practice Address - Country:US
Practice Address - Phone:305-505-4924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20043770A103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service