Provider Demographics
NPI:1316266885
Name:NAIDOO, RESHMA BABRA (PHD)
Entity type:Individual
Prefix:
First Name:RESHMA
Middle Name:BABRA
Last Name:NAIDOO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:RESHMA
Other - Middle Name:BABRA
Other - Last Name:RAMSINGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3100 SW 62ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-3009
Mailing Address - Country:US
Mailing Address - Phone:512-814-6665
Mailing Address - Fax:512-782-2223
Practice Address - Street 1:3100 SW 62ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-3009
Practice Address - Country:US
Practice Address - Phone:512-814-6665
Practice Address - Fax:512-782-2223
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-24
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34663103G00000X
FLPY9455103G00000X, 2084N0402X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology