Organization
ANDREA DERATANY, PSY.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA G DERATANY PSY.D. (OWNER/PSYCHOLOGIST)
(321) 727-9031
Entity
Organization
Contact information
Practice address
105 S RIVERSIDE DR, SUITE 130, INDIALANTIC, FL 32903-4365
(321) 727-9031
(321) 724-8011
Mailing address
105 S RIVERSIDE DR, SUITE 130, INDIALANTIC, FL 32903-4365
(321) 727-9031
(321) 724-8011
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 4374
FL
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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