DR. Nicole Woller, PH.D., LCSW

NPI #1881735819 in Belleview, Florida

Provider Information

NPI Number: 1881735819
Entity Type: Individual
Name: DR. Nicole Woller, PH.D., LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: PH.D., LCSW
Enumeration Date: Feb 11, 2007
Last Updated: Apr 22, 2020

Practice Location

Address: 5818 SE AGNEW RD
City: Belleview
State: Florida
ZIP Code: 34420-4020
Phone: (561) 706-1004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Psychologist - Cognitive & Behavioral — Cognitive & Behavioral	103TB0200X
Psychologist - Forensic — Forensic	103TF0200X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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