Organization
FLORIDA PSYCHOLOGY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLLEEN MOCCO PH.D. (LICENSED PSYCHOLOGIST)
(201) 484-9383
Entity
Organization
Contact information
Practice address
1030 E LAFAYETTE ST STE 8, TALLAHASSEE, FL 32301-4547
(201) 484-9383
Mailing address
8819 MINNOW CREEK DR, TALLAHASSEE, FL 32312-5041
(201) 484-9383
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY9289
FL
Other
Enumeration date
10/25/2015
Last updated
10/25/2015
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