Altagracia Yodley Andre, LMFT

Individual provider Active NPI Marriage & Family Therapist · West Palm Beach, FL

NPI 1992184352 · NPPES record last updated May 19, 2015

Key facts

NPI
1992184352
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MT3012 (FL)
Practice address
4101 Parker Ave
West Palm Beach, FL 33405-2507
Phone
(561) 616-1222
NPI assigned
May 19, 2015
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

State licenses

LicenseStateTypeSpecialty
MT3012FLMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT3012 FL Yes

Addresses

Primary practice location

4101 Parker Ave
West Palm Beach, FL 33405-2507

Mailing address

1229 Madison Chase Apt 3
West Palm Beach, FL 33411-6203
Phone (561) 352-0733

Other providers in West Palm Beach, FL

All providers in West Palm Beach, FL · Marriage & Family Therapist in Florida

Sources for this page

Verify at the official NPI Registry.