Provider Demographics
NPI:1255610994
Name:PRESS, ANDREA CLAIRE (PSYD)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:CLAIRE
Last Name:PRESS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2950 IMMOKALEE RD STE 3
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-1411
Mailing Address - Country:US
Mailing Address - Phone:239-571-8709
Mailing Address - Fax:239-603-6632
Practice Address - Street 1:2950 IMMOKALEE RD STE 3
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110
Practice Address - Country:US
Practice Address - Phone:395-718-7092
Practice Address - Fax:239-603-6632
Is Sole Proprietor?:No
Enumeration Date:2011-08-11
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY1000735103T00000X
FLPY9244103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical