Doctor Name: | ALEXANDRA FICHETTI |
NPI Number: | 1114327244 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1196-j Rio De Janeiro. Ave Punta Gorda, FL - 33983 |
Business Phone Number: | 6312350984 |
Business Fax Number: | |
Mailing Address: | 1196 Rio De Janeiro Ave Apt J, PUNTA GORDA |
State: | FL |
Postal Code: | 339836157 |
Phone Number: | 9415180487 |
Fax Number: | |
NPI Enumeration Date: | 08/26/2014 |
NPI Last Update Date: | 08/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |