Doctor Name: | CELINE PASSERI |
NPI Number: | 1114251170 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | PY7987 |
Business Practice Address: | 1806 Town Plaza Ct Winter Springs, FL - 327086206 |
Business Phone Number: | 9542249122 |
Business Fax Number: | |
Mailing Address: | 14421 Pleach St, WINTER GARDEN |
State: | FL |
Postal Code: | 347876227 |
Phone Number: | 9542249133 |
Fax Number: | |
NPI Enumeration Date: | 09/23/2009 |
NPI Last Update Date: | 04/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PY7987 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |