| Marie L. Trgovac Counseling, P.a. | |
|
1765 Banyan Dr Venice FL 34293-1609 | |
| (570) 490-0620 | |
| Not Available |
| Full Name | Marie L. Trgovac Counseling, P.a. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1765 Banyan Dr, Venice, Florida |
| Authorized Official Name and Position | Marie Louise Trgovac (PRESIDENT) |
| Authorized Official Contact | 5704900620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marie L. Trgovac Counseling, P.a. 1765 Banyan Dr Venice FL 34293-1609 Ph: (570) 490-0620 | Marie L. Trgovac Counseling, P.a. 1765 Banyan Dr Venice FL 34293-1609 Ph: (570) 490-0620 |
| NPI Number | 1992243745 |
|---|---|
| Provider Enumeration Date | 02/01/2017 |
| Last Update Date | 02/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992243745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY 9611 (Florida) | Primary |
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