Organization
NICOLE AGRESTO, PSYCHOLOGY P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE AGRESTO PSY D (OWNER)
(727) 685-0934
Entity
Organization
Contact information
Practice address
2150 49TH ST N STE E, ST PETERSBURG, FL 33710-5237
(727) 685-0934
(727) 279-4986
Mailing address
2150 49TH ST N STE E, ST PETERSBURG, FL 33710-5237
(727) 685-0934
(727) 279-4986
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9016
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629483698
NPI
FL
Enumeration date
01/18/2018
Last updated
02/14/2019
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