Provider Demographics
NPI:1992851091
Name:LAFFITTE, ANDREA K (MA)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:K
Last Name:LAFFITTE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 51044
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85076-1044
Mailing Address - Country:US
Mailing Address - Phone:602-276-8904
Mailing Address - Fax:
Practice Address - Street 1:2002 E CLARENDON AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-6507
Practice Address - Country:US
Practice Address - Phone:602-381-6080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool