Individual
MR. ANGEL O NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
4411 W GRAY ST UNIT 1, TAMPA, FL 33609-2027
(813) 452-1555
Mailing address
4411 W GRAY ST UNIT 1, TAMPA, FL 33609-2027
(813) 452-1555
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
4150
PR
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
02/19/2014
Last updated
09/17/2021
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