Michelle Andra, PH.D.

Individual provider Active NPI Clinical Psychologist · Asheville, NC

NPI 1821055872 · NPPES record last updated Sep 26, 2014

Key facts

NPI
1821055872
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
3164 (NC)
Practice address
1100 Tunnel Rd
Asheville, NC 28805-2043
Phone
(828) 298-7911
Fax
(828) 299-5992
NPI assigned
Apr 26, 2006
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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3164NCMDProfessional Counselor
1279SCMDCertified Registered Nurse Anesthetist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3164 NC Yes
Clinical Psychologist 103TC0700X 1279 SC

Addresses

Primary practice location

1100 Tunnel Rd
Asheville, NC 28805-2043

Mailing address

25 Grove Hall CT
Columbia, SC 29212-2870
Phone (828) 545-3069

Other providers in Asheville, NC

All providers in Asheville, NC · Clinical Psychologist in North Carolina

Sources for this page

Verify at the official NPI Registry.