Organization
NILSA RIVERA PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NILSA RIVERA PHD (PRESIDENT)
(239) 434-2425
Entity
Organization
Contact information
Practice address
692 GOODLETTE RD N, NAPLES, FL 34102
(239) 434-2425
(239) 649-6085
Mailing address
692 GOODLETTE RD N, NAPLES, FL 34102
(239) 434-2425
(239) 649-6085
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY6994
FL
103TC0700X
Clinical Psychologist
PY6994
FL
103TC1900X
Counseling Psychologist
PY6994
FL
Other
Enumeration date
01/03/2007
Last updated
05/20/2008
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