Provider Demographics
NPI:1043411614
Name:KLEIN, ANDREW GIRARD (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:GIRARD
Last Name:KLEIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 BRICKELL BAY DR
Mailing Address - Street 2:SUITE 2204
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-4900
Mailing Address - Country:US
Mailing Address - Phone:305-373-7106
Mailing Address - Fax:305-373-7108
Practice Address - Street 1:1001 BRICKELL BAY DR
Practice Address - Street 2:SUITE 2204
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-4900
Practice Address - Country:US
Practice Address - Phone:305-373-7106
Practice Address - Fax:305-373-7108
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7180103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical