Organization
MARIE L. TRGOVAC COUNSELING, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE LOUISE TRGOVAC PSY.D. (PRESIDENT)
(570) 490-0620
Entity
Organization
Contact information
Practice address
1765 BANYAN DR, VENICE, FL 34293-1609
(570) 490-0620
Mailing address
1765 BANYAN DR, VENICE, FL 34293-1609
(570) 490-0620
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 9611
FL
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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