Healthcare Provider Details

I. General information

NPI: 1588659643
Provider Name (Legal Business Name): NINA ELIZABETH TOCCI PHD; MSCP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/15/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30853 HIGHWAY 43
THOMASVILLE AL
36784-2513
US

IV. Provider business mailing address

1005 SCOTT DR
THOMASVILLE AL
36784-2834
US

V. Phone/Fax

Practice location:
  • Phone: 334-636-0360
  • Fax: 334-636-0361
Mailing address:
  • Phone: 334-636-0360
  • Fax: 334-636-0361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number712
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number712
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number712
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: