Individual
MS. NICOLLE ANNE DELEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
2755 E OAKLAND PARK BLVD STE 225, FORT LAUDERDALE, FL 33306-1629
(954) 440-7828
Mailing address
2755 E OAKLAND PARK BLVD STE 225, FORT LAUDERDALE, FL 33306-1629
(954) 990-7673
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10032
FL
103T00000X
Psychologist
PY8799
FL
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
12/02/2009
Last updated
03/26/2021
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