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NICOLE AGRESTO PSY.D,
Clinical >> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1629483698
Individual Registrant: NICOLE AGRESTO PSY.D,
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
2150 49TH ST N STE E ST PETERSBURG, FL 33710-5237 US
Tel: 727-685-0934 Fax: 727-279-4986
Tel: 727-685-0934 Fax: 727-279-4986
Contact information for business:
2150 49TH ST N STE E SAINT PETERSBURG, FL 33710-5237 US
Tel: 727-685-0934 Fax: 727-279-4986
Tel: 727-685-0934 Fax: 727-279-4986
Registration Information:
NPI: 1629483698
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103TC0700X | Behavioral Health & Social Service Providers Psychologist Clinical | FL | PY9016 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
