| Andrea Deratany, Psy.d., P.a. | |
|
105 S Riverside Dr Suite 130 Indialantic FL 32903-4365 | |
| (321) 727-9031 | |
| (321) 724-8011 |
| Full Name | Andrea Deratany, Psy.d., P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 105 S Riverside Dr, Indialantic, Florida |
| Authorized Official Name and Position | Andrea G Deratany (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 3217279031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Deratany, Psy.d., P.a. 105 S Riverside Dr Suite 130 Indialantic FL 32903-4365 Ph: (321) 727-9031 | Andrea Deratany, Psy.d., P.a. 105 S Riverside Dr Suite 130 Indialantic FL 32903-4365 Ph: (321) 727-9031 |
| NPI Number | 1548555048 |
|---|---|
| Provider Enumeration Date | 06/13/2011 |
| Last Update Date | 06/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548555048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY 4374 (Florida) | Primary |
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