Individual
NANCY L COLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6223 BEECHMONT BLVD, ORLANDO, FL 32808-2317
(407) 780-0585
Mailing address
6223 BEECHMONT BLVD, ORLANDO, FL 32808-2317
(407) 780-0585
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
693265796
—
FL
05
—
693265798
—
FL
Enumeration date
05/28/2008
Last updated
06/12/2008
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