Provider Demographics
NPI:1669493482
Name:FIRPO, HEIDY (PSYD)
Entity type:Individual
Prefix:
First Name:HEIDY
Middle Name:
Last Name:FIRPO
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 1:12525 ORANGE DR
Mailing Address - Street 2:STE# 706
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33330-4308
Mailing Address - Country:US
Mailing Address - Phone:954-854-6582
Mailing Address - Fax:
Practice Address - Street 1:12525 ORANGE DR
Practice Address - Street 2:STE# 706
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33330-4308
Practice Address - Country:US
Practice Address - Phone:954-854-6582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6983103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU5449Medicare ID - Type UnspecifiedPROVIDER NUMBER