Individual
NICOLE ELISE CAVALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1835 MAIN ST STE 101, WESTON, FL 33326-3648
(305) 936-1002
Mailing address
2925 NE 199TH ST, AVENTURA, FL 33180-3124
(305) 936-1002
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY12497
FL
247200000X
Other Technician
—
—
Other
Enumeration date
08/16/2017
Last updated
08/31/2025
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