Provider Demographics
NPI:1487320164
Name:DELBASSO, CLAUDIA ANDREA (MA)
Entity type:Individual
Prefix:
First Name:CLAUDIA ANDREA
Middle Name:
Last Name:DELBASSO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5010
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30302-5010
Mailing Address - Country:US
Mailing Address - Phone:678-522-9745
Mailing Address - Fax:
Practice Address - Street 1:140 DECATUR STREET
Practice Address - Street 2:URBAN LIFE BUILDING, 11TH FLOOR
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-3083
Practice Address - Country:US
Practice Address - Phone:404-413-6200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-21
Last Update Date:2021-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program