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NPI Code Detail

MEDICARE: DR. DAVID CAVALLERI PH.D.

MEDICARE:  DR. DAVID  CAVALLERI  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
1101YM0800XMental Health Counselor16023FL

General Provider Information

NPI Number : 1396221586
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID CAVALLERI PH.D.
Provider Business Mailing Address
First Line : 1720 W CHERYL DR
Second Line :
City : WINTER PARK
State : FL
Zip : 32792-6307
Country : US
Telephone Number : 407-456-1541
Fax Number :
Provider Business Practice Location Address
First Line : 1525 E ROBINSON ST
Second Line :
City : ORLANDO
State : FL
Zip : 32801-2121
Country : US
Telephone Number : 407-456-1541
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2018
Last Update Date : 07/11/2018

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Directions to “ DR. DAVID CAVALLERI PH.D.” Practice Location

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