Individual
ANDREA DENISE GUASTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-2057
(352) 265-4357
(352) 392-3614
Mailing address
PO BOX 100256, GAINESVILLE, FL 32610-0256
(352) 265-4357
(352) 392-3614
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY10562
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/14/2017
Last updated
04/03/2020
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