Doctor Name: | KEISHA TRACEY DELVA |
NPI Number: | 1326279167 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1485 S. Semoran Blvd., Winter Park, Fl 32792 Suite 1402 Winter Park, FL - 327925533 |
Business Phone Number: | 3213973000 |
Business Fax Number: | 4076815478 |
Mailing Address: | 1485 S. Semoran Blvd., Winter Park, Fl 32792, Suite 1402 WINTER PARK |
State: | FL |
Postal Code: | 327925533 |
Phone Number: | 3213973000 |
Fax Number: | 4076815478 |
NPI Enumeration Date: | 07/28/2009 |
NPI Last Update Date: | 10/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |