Imi Ola | |
3955 Fooshe Ave Micco FL 32976-2940 | |
(808) 646-1497 | |
Not Available |
Full Name | Imi Ola |
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Speciality | Psychologist |
Location | 3955 Fooshe Ave, Micco, Florida |
Authorized Official Name and Position | Stephanie Napoli (OWNER, LICENSED CLINICAL PSYCHOLOGI) |
Authorized Official Contact | 8086461497 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Imi Ola 3955 Fooshe Ave Micco FL 32976-2940 Ph: (808) 646-1497 | Imi Ola 3955 Fooshe Ave Micco FL 32976-2940 Ph: (808) 646-1497 |
NPI Number | 1154033660 |
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Provider Enumeration Date | 12/15/2022 |
Last Update Date | 06/01/2023 |
Certification Date | 06/01/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154033660 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |