Jennifer Balandrano
Individual provider Active NPI Marriage & Family Therapist · Wilton Manors, FL
NPI 1043674773 · NPPES record last updated Apr 8, 2016
Key facts
- NPI
- 1043674773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Practice address
- 819 NE 26TH St
Wilton Manors, FL 33305-1239 - Phone
- (954) 390-7654
- NPI assigned
- Apr 8, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Yes |
Addresses
Primary practice location
819 NE 26TH St
Wilton Manors, FL 33305-1239
Mailing address
6525 W 24TH Ave Apt 201
Hialeah, FL 33016-8916
Phone (305) 778-2150
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- Edward Arthur Barron
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All providers in Wilton Manors, FL · Marriage & Family Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.