| NPI | 1649780578 |
|---|---|
| Former Legal Business Name | DR. OLIVIA CAROLLO, LTD |
| Entity Type | Organization |
| Authorized Contact | OLIVIA LYNN CAROLLO Manager 727-480-9038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.009421) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2023-02-09 |