Provider Demographics
NPI:1861063596
Name:DE LA FLOR, ANDREA (MA, MED, LPC, CAADC)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:DE LA FLOR
Suffix:
Gender:F
Credentials:MA, MED, LPC, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 S CLINTON ST STE 201
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-4220
Mailing Address - Country:US
Mailing Address - Phone:215-602-7117
Mailing Address - Fax:866-936-1909
Practice Address - Street 1:10 S CLINTON ST STE 201
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-4220
Practice Address - Country:US
Practice Address - Phone:215-602-7117
Practice Address - Fax:866-936-1909
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-03
Last Update Date:2022-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6989101YA0400X
PAPC014620101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)