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Individual
NICOLE NGO
Active
Individual
NICOLE NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S., PPS, LEP
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4144
CA
103TB0200X
Cognitive & Behavioral Psychologist
4144
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
4144
CA
103TS0200X
School Psychologist
4144
CA
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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