Provider Demographics
NPI:1366764482
Name:PEICHER DE FLEISCHER, CLARA (LMHC)
Entity type:Individual
Prefix:
First Name:CLARA
Middle Name:
Last Name:PEICHER DE FLEISCHER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16300 NE 19TH AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-4883
Mailing Address - Country:US
Mailing Address - Phone:786-556-9481
Mailing Address - Fax:
Practice Address - Street 1:16300 NE 19TH AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4883
Practice Address - Country:US
Practice Address - Phone:786-556-9481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-16
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9804101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health