Provider Demographics
NPI:1659080836
Name:PFLEGER, ANDREW
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:PFLEGER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:932 GREENWICH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-6319
Mailing Address - Country:US
Mailing Address - Phone:215-205-2045
Mailing Address - Fax:
Practice Address - Street 1:932 GREENWICH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19147-6319
Practice Address - Country:US
Practice Address - Phone:215-205-2045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-16
Last Update Date:2025-02-27
Deactivation Date:2024-02-05
Deactivation Code:
Reactivation Date:2025-02-27
Provider Licenses
StateLicense IDTaxonomies
PA15295101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)