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NPI Code Detail

MEDICARE: MRS. NADINE CHARLES DE GIORDANY PSY S., MSW

MEDICARE:  MRS. NADINE  CHARLES DE GIORDANY  PSY S., MSW
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
1103TS0200XSchool PsychologistSS 1122FL

General Provider Information

NPI Number : 1558796466
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NADINE CHARLES DE GIORDANY PSY S., MSW
Provider Business Mailing Address
First Line : 2200 N COMMERCE PKWY
Second Line : SUITE 200
City : WESTON
State : FL
Zip : 33326-3258
Country : US
Telephone Number : 305-206-9166
Fax Number :
Provider Business Practice Location Address
First Line : 2200 N COMMERCE PKWY
Second Line : SUITE 200
City : WESTON
State : FL
Zip : 33326-3258
Country : US
Telephone Number : 305-206-9166
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2013
Last Update Date : 09/10/2013

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Directions to “ MRS. NADINE CHARLES DE GIORDANY PSY S., MSW” Practice Location

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