Provider Demographics
NPI:1588818900
Name:GONCALVES OLIVEIRA, ANDREA PINTO (MASTERS PSYCHOLOGY)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:PINTO
Last Name:GONCALVES OLIVEIRA
Suffix:
Gender:F
Credentials:MASTERS PSYCHOLOGY
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1101 BEACON ST STE 302
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-5587
Mailing Address - Country:US
Mailing Address - Phone:617-455-2152
Mailing Address - Fax:
Practice Address - Street 1:1101 BEACON ST STE 302
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-5587
Practice Address - Country:US
Practice Address - Phone:617-455-2152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-12
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health