JOAN M DIGREGORIO


Address: 3540 Nw 88th Ave, Sunrise, FL 33351-6637
Phone: 9547977881

JOAN M DIGREGORIO (NPI# 1760560304) 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) 1760560304
Entity Type Individual
Full Name JOAN M DIGREGORIO
Credential PHD
Practice Address 3540 Nw 88th Ave
Sunrise
FL 33351-6637
Mailing Address 6245 N Federal Hwy
Suite 300
Ft Lauderdale
FL 33308-1998
Practice Telephone 9547977881
Practice Fax Number 9547977880
Mailing Telephone 9549561966
Mailing Fax Number 9547450501
Enumeration Date 2006-11-01
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 103G00000X Clinical Neuropsychologist PY0004299 FL Behavioral Health & Social Service Providers
X 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
PY0004299 FL Behavioral Health & Social Service Providers

Office Location

Street Address 3540 NW 88TH AVE
City SUNRISE
State FL
Zip Code 33351-6637

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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

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1861435166 Niurka Maribel Santana Clinical Neuropsychologist 4399 N Nob Hill Rd, Sunrise, FL 33351-5813 2006-06-14

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Competitor

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City SUNRISE
Zip Code 33351

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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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