Individual
DR. NICOLE THEISS FOGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1695 NW 9TH AVE STE 2416, MIAMI, FL 33136-1409
(440) 212-2384
Mailing address
960 SW 2ND ST APT 3, MIAMI, FL 33130-1137
(440) 212-2384
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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