Individual
DR. JESSICA D. CIAVARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
9000 SHERIDAN ST, SUITE 121, PEMBROKE PINES, FL 33024-8802
(954) 552-7510
(954) 212-6100
Mailing address
9000 SHERIDAN ST, SUITE 121, PEMBROKE PINES, FL 33024-8802
(954) 552-7510
(954) 212-6100
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 7107
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12378663
MULTIPLAN
FL
01
—
161720383
HORIZON HEALTH
FL
01
—
75064
BLUE CROSS BLUE SHIELD
FL
01
—
7670760
AETNA
FL
Enumeration date
07/06/2006
Last updated
10/22/2013
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