Provider Demographics
NPI:1194871723
Name:SCHLOSBERG ARVON, CORAL (LCSW, PHD, LMFT)
Entity type:Individual
Prefix:DR
First Name:CORAL
Middle Name:
Last Name:SCHLOSBERG ARVON
Suffix:
Gender:F
Credentials:LCSW, PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20700 W DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1146
Mailing Address - Country:US
Mailing Address - Phone:305-936-8000
Mailing Address - Fax:305-936-0419
Practice Address - Street 1:20700 W DIXIE HWY
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1146
Practice Address - Country:US
Practice Address - Phone:305-936-8000
Practice Address - Fax:305-936-0419
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL03261041C0700X
FL0207106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ1054OtherBLUE CROSS
FLZ1054OtherBLUE CROSS
FL650541684Medicare UPIN