Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 7167 | FL |
Y | 103TC0700X | Clinical Psychologist | 7167 | FL |
NPI | 1013032135 |
---|---|
Provider Name | Dr. Nicoletta B Tessler |
First Address | Bay Harbor Islands, FL 33154-1528 |
Second Address | Miami, FL 33136-1409 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2007 |
Last Update Date | 08/07/2007 |