Organization
ANDREA G DERTANY PSYD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKIE REEL (ADMIN ASSISTANT)
(321) 727-9031
Entity
Organization
Contact information
Practice address
105 S RIVERSIDE DR STE 130, INDIALANTIC, FL 32903-4321
(321) 727-9031
(321) 724-8011
Mailing address
105 S RIVERSIDE DR STE 130, INDIALANTIC, FL 32903-4321
(321) 727-9031
(321) 724-8011
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY4374
FL
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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