MR. NICHOLAS PETER TERRANOVA


Address: 219 S Bradford Ave, Tampa, FL 33609-3002
Phone: 8135984101

MR. NICHOLAS PETER TERRANOVA (NPI# 1104956978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104956978
Entity Type Individual
Full Name MR. NICHOLAS PETER TERRANOVA
Credential LCSW
Practice Address 219 S Bradford Ave
Tampa
FL 33609-3002
Mailing Address 219 South Bradford Ave
Tampa
FL 33609
Practice Telephone 8135984101
Practice Fax Number 8138701726
Mailing Telephone 8135984101
Mailing Fax Number 8138701726
Enumeration Date 2007-03-07
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
SW-0004116 FL Behavioral Health & Social Service Providers

Office Location

Street Address 219 S BRADFORD AVE
City TAMPA
State FL
Zip Code 33609-3002

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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

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Competitor

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City TAMPA
Zip Code 33609

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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