Provider Demographics
NPI:1407419831
Name:AVP ASSESSMENT SERVICES, LLC
Entity Type:Organization
Organization Name:AVP ASSESSMENT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:VIVIAN
Authorized Official - Last Name:PELLEGRINI
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:786-683-9811
Mailing Address - Street 1:PO BOX 8688
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34101-8688
Mailing Address - Country:US
Mailing Address - Phone:800-838-3841
Mailing Address - Fax:800-398-9787
Practice Address - Street 1:4851 TAMIAMI TRL N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-3096
Practice Address - Country:US
Practice Address - Phone:786-683-9811
Practice Address - Fax:800-398-9787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-22
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth ServiceGroup - Multi-Specialty