# NICHOLE M SLICK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1033728704
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 20043904B | IN | Yes |

## Other

- **Enumeration date:** 07/28/2020
- **Last updated:** 09/23/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | UY676188 | DRIVERS LICENSE NUMBER | OH |