Basic Information
Provider Information
NPI: 1780880740
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALBERDI
FirstName: ANA
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: M.S.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9720 STERLING DR
Address2:  
City: MIAMI
State: FL
PostalCode: 331576948
CountryCode: US
TelephoneNumber: 3052523514
FaxNumber:  
Practice Location
Address1: 9380 SW 72ND ST
Address2: SUITE B-120
City: MIAMI
State: FL
PostalCode: 331735454
CountryCode: US
TelephoneNumber: 3052743172
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/26/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800XIMH 5406FLY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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