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NPI Code Detail

MEDICARE: DR. CLAIRE ELKINGTON DE ANDRADE PSY.D.

MEDICARE: DR. CLAIRE ELKINGTON DE ANDRADE PSY.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
1103TC0700XClinical Psychologist0810008130VA
2103TC0700XClinical PsychologistPSY 18715CA

General Provider Information

NPI Number : 1598984585
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLAIRE ELKINGTON DE ANDRADE PSY.D.
Provider Business Mailing Address
First Line : 100 E SOUTH ST STE 5
Second Line :
City : CHARLOTTESVILLE
State : VA
Zip : 22902-5217
Country : US
Telephone Number : 434-971-4747
Fax Number :
Provider Business Practice Location Address
First Line : 100 E SOUTH ST STE 5
Second Line :
City : CHARLOTTESVILLE
State : VA
Zip : 22902-5217
Country : US
Telephone Number : 434-971-4747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2007
Last Update Date : 10/08/2023

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