Individual
DR. NICOLA BECKLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
221 BROADWAY, SUITE 201C, AMITYVILLE, NY 11701-2780
(718) 390-8815
(718) 526-5503
Mailing address
PO BOX 85, AMITYVILLE, NY 11701-0085
(718) 390-8815
(718) 526-5503
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
009984
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01183884
—
NY
Enumeration date
05/25/2007
Last updated
03/12/2014
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