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NPI Code Detail

MEDICARE: JOAN M DIGREGORIO PHD

MEDICARE: JOAN M DIGREGORIO PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103G00000XClinical NeuropsychologistPY0004299FL
2103TB0200XCognitive & Behavioral PsychologistPY0004299FL

General Provider Information

NPI Number : 1760560304
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOAN M DIGREGORIO PHD
Provider Business Mailing Address
First Line : 6245 N FEDERAL HWY
Second Line : SUITE 300
City : FT LAUDERDALE
State : FL
Zip : 33308-1998
Country : US
Telephone Number : 954-956-1966
Fax Number : 954-745-0501
Provider Business Practice Location Address
First Line : 3540 NW 88TH AVE
Second Line :
City : SUNRISE
State : FL
Zip : 33351-6637
Country : US
Telephone Number : 954-797-7881
Fax Number : 954-797-7880
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 09/11/2025

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Directions to “ JOAN M DIGREGORIO PHD” Practice Location

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