Organization
FORT LAUDERDALE PSYCHOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLLE ANNE DELEO LMHC PSYD (OWNER/PRESIDENT)
(954) 260-8790
Entity
Organization
Contact information
Practice address
2755 E OAKLAND PARK BLVD, SUITE 225, FORT LAUDERDALE, FL 33306-1637
(954) 260-8790
Mailing address
115 NE 3RD AVE, #305, FORT LAUDERDALE, FL 33301-1291
(954) 260-8790
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH:10032
FL
103TC0700X
Clinical Psychologist
Primary
PY: 8799
FL
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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