Provider Demographics
NPI:1740633544
Name:DUVELSAINT, PIERRE JEAN
Entity type:Individual
Prefix:
First Name:PIERRE
Middle Name:JEAN
Last Name:DUVELSAINT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 W CHURCH ST
Mailing Address - Street 2:APT. 602
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32805-2285
Mailing Address - Country:US
Mailing Address - Phone:561-577-5049
Mailing Address - Fax:
Practice Address - Street 1:595 W CHURCH ST
Practice Address - Street 2:APT. 602
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32805-2285
Practice Address - Country:US
Practice Address - Phone:561-577-5049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-15
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation