Individual
DR. NICHOLAS J DEPRIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3801 PGA BLVD STE 600, PALM BEACH GARDENS, FL 33410-2756
(561) 909-0080
Mailing address
9960 NW 116TH WAY STE 13, MEDLEY, FL 33178-1175
(786) 924-1311
(786) 924-1313
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY8350
FL
103T00000X
Psychologist
PY 8350
FL
Other
Enumeration date
09/06/2011
Last updated
11/12/2024
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