Healthcare Provider Details

I. General information

NPI: 1649833443
Provider Name (Legal Business Name): AVP ASSESSMENT SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2019
Last Update Date: 04/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4851 TAMIAMI TRL N
NAPLES FL
34103-3096
US

IV. Provider business mailing address

PO BOX 8688
NAPLES FL
34101-8688
US

V. Phone/Fax

Practice location:
  • Phone: 786-683-9811
  • Fax: 800-398-9787
Mailing address:
  • Phone: 786-683-9811
  • Fax: 800-398-9787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREA V PELLEGRINNI
Title or Position: MANAGER
Credential: PSY.D.
Phone: 786-683-9811