Doctor Name: | MRS. ANDREA SUSAN PASTORELLO |
NPI Number: | 1043580053 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | MH8496 |
Business Practice Address: | 7800 Sw 57th Ave South Miami, FL - 331435528 |
Business Phone Number: | 3052021347 |
Business Fax Number: | 3052383511 |
Mailing Address: | 7800 Sw 57th Ave, SOUTH MIAMI |
State: | FL |
Postal Code: | 331435528 |
Phone Number: | 3052021347 |
Fax Number: | 3052383511 |
NPI Enumeration Date: | 01/06/2012 |
NPI Last Update Date: | 01/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH8496 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |