Individual
NICOLE J ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1028 E OSCEOLA PKWY, KISSIMMEE, FL 34744
(407) 720-4690
Mailing address
179 JALAPA DR, KISSIMMEE, FL 34743-7534
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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