Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA STREETER
Active Sole ProprietorICF/Individuals with Intellectual Disabilities · STONE MOUNTAIN, GA
Registration Details
- NPI Number
- 1205205473
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 17, 2015 (10.59404630837 yrs)
- Last Updated
- Sep 17, 2015
- License
-
044016471 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
439 WATSON BAYSTONE MOUNTAIN, GA, 300876195Browse GA providers · Browse ZIP 30087
- Phone
- 7704656858
- Primary Specialty
-
ICF/Individuals with Intellectual Disabilities
315P00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.