MEDICARE: DR. ANDREW GIRARD KLEIN PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PY7180	FL

General Provider Information

NPI Number	:	1043411614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW GIRARD KLEIN PH.D.

Provider Business Mailing Address
First Line	:	1001 BRICKELL BAY DR
Second Line	:	SUITE 2204
City	:	MIAMI
State	:	FL
Zip	:	33131-4900
Country	:	US
Telephone Number	:	305-373-7106
Fax Number	:	305-373-7108

Provider Business Practice Location Address
First Line	:	1001 BRICKELL BAY DR
Second Line	:	SUITE 2204
City	:	MIAMI
State	:	FL
Zip	:	33131-4900
Country	:	US
Telephone Number	:	305-373-7106
Fax Number	:	305-373-7108

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2007
Last Update Date	:	07/08/2007

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