| Advanced Diagnostic Assessments & Psychotherapy, Inc. | |
|
130 S Indian River Dr Ste 202 Fort Pierce FL 34950-4353 | |
| (772) 324-9615 | |
| Not Available |
| Full Name | Advanced Diagnostic Assessments & Psychotherapy, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 130 S Indian River Dr Ste 202, Fort Pierce, Florida |
| Authorized Official Name and Position | Alethia Dupont (CEO/DIRECTOR/OWNER) |
| Authorized Official Contact | 7723249615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Diagnostic Assessments & Psychotherapy, Inc. 130 S Indian River Dr Ste 202 Fort Pierce FL 34950-4353 Ph: (772) 324-9615 | Advanced Diagnostic Assessments & Psychotherapy, Inc. 130 S Indian River Dr Ste 202 Fort Pierce FL 34950-4353 Ph: (772) 324-9615 |
| NPI Number | 1952011264 |
|---|---|
| Provider Enumeration Date | 11/28/2022 |
| Last Update Date | 01/31/2023 |
| Certification Date | 01/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952011264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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