Organization Name: | DR CARMINE PECORARO PSY D & ASSOCIATES P A |
NPI Number: | 1093933590 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUDITH ANN PECORARO (VICE PRESIDENT) |
Mailing Address: | 915 Middle River Dr 317 Ft Lauderdale |
State: | FL US |
Postal Code: | 333043544 |
Phone Number: | 9544632723 |
Fax Number: | 9544631687 |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 04/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | PY7477 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |