Individual
DR. NIKKI LA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 300-2651
Mailing address
10418 TUPPER CAY DR, SAN ANTONIO, FL 33576-7414
(954) 673-6019
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
12792
FL
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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