Individual
TERESA M PICCIOCCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
5300 SW 91ST TERRACE, STE A, GAINESVILLE, FL 32608-4399
(352) 337-0551
(352) 374-2166
Mailing address
5300 SW 91ST TERRACE, STE A, GAINESVILLE, FL 32608-4399
(352) 337-0551
(352) 374-2166
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7228
FL
Other
Enumeration date
07/22/2006
Last updated
07/08/2007
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