Individual
NICOLE STEPHANIE MENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, PSYCHOLOGY TRAILER 59, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
19301 RED SKY CT, LAND O LAKES, FL 34638-6183
(305) 343-4900
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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