Basic Information
| Provider Information | |||||||||
| NPI: | 1245947795 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CALVET | ||||||||
| FirstName: | DELLANIRA | ||||||||
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| Credential: | RCSWI | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7171 SW 62ND AVE | ||||||||
| Address2: | |||||||||
| City: | SOUTH MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331434723 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3052705305 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7171 SW 62ND AVE | ||||||||
| Address2: | |||||||||
| City: | SOUTH MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331434723 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3052705305 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/03/2022 | ||||||||
| LastUpdateDate: | 11/03/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 11/03/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | ISW17892 | FL | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 103TC0700X | ISW17892 | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.