Provider Demographics
NPI:1073757373
Name:GIORDANI, ANDREA (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:
Last Name:GIORDANI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:
Other - Last Name:MASSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24 ROCKLAND STREET
Mailing Address - Street 2:SUITE 7
Mailing Address - City:HANOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02339-1844
Mailing Address - Country:US
Mailing Address - Phone:781-826-8228
Mailing Address - Fax:
Practice Address - Street 1:24 ROCKLAND STREET
Practice Address - Street 2:SUITE 7
Practice Address - City:HANOVER
Practice Address - State:MA
Practice Address - Zip Code:02339-1844
Practice Address - Country:US
Practice Address - Phone:781-826-8228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-30
Last Update Date:2011-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8996103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist