Individual
DR. ANDREA VIVIANA PELLEGRINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
33972
TX
103TC0700X
Clinical Psychologist
9304
FL
103TH0100X
Health Service Psychologist
Primary
PY9304
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY9304
STATE LICENSE
FL
Enumeration date
07/26/2010
Last updated
04/21/2019
Update your record
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