Provider Demographics
NPI:1598984585
Name:DE ANDRADE, CLAIRE ELKINGTON (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:ELKINGTON
Last Name:DE ANDRADE
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 1:100 E SOUTH ST STE 5
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-5217
Mailing Address - Country:US
Mailing Address - Phone:434-971-4747
Mailing Address - Fax:
Practice Address - Street 1:100 E SOUTH ST STE 5
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-5217
Practice Address - Country:US
Practice Address - Phone:434-971-4747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2023-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810008130103TC0700X
CAPSY 18715103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty