| Doctor Name: | ALIDA EISDORFER |
| NPI Number: | 1629194683 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | MH7840 |
| Business Practice Address: | 660 Executive Park Ct Suite 1000 Apopka, FL - 327036045 |
| Business Phone Number: | 4076822570 |
| Business Fax Number: | 4078625048 |
| Mailing Address: | 660 Executive Park Ct, Suite 1000 APOPKA |
| State: | FL |
| Postal Code: | 327036045 |
| Phone Number: | 4076822570 |
| Fax Number: | 4078625048 |
| NPI Enumeration Date: | 03/21/2007 |
| NPI Last Update Date: | 04/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH7840 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |