Individual
DR. ANDREA NICHOL MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6031 ROBERT RD UNIT 205, DAVENPORT, FL 33837-3759
(401) 662-4725
Mailing address
6031 ROBERT RD UNIT 205, DAVENPORT, FL 33837-3759
(401) 662-4725
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PY12217
FL
Other
Enumeration date
09/16/2021
Last updated
04/08/2024
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