Individual
MRS. NICHOLE LOFTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED. S.
Contact information
Practice address
4600 DETROIT AVE, CLEVELAND, OH 44102-2215
(216) 631-1528
Mailing address
9728 E NORTHWOOD DR, OLMSTED FALLS, OH 44138-2806
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH1272356
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235Z00000X
—
OH
Enumeration date
06/04/2014
Last updated
06/04/2014
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