Individual
DR. NICOLE LAVERTUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
8638 ROUTE 104 STE 104, MOUNT PLEASANT MILLS, PA 17853-8752
(717) 856-0220
Mailing address
8638 ROUTE 104 STE 10, MOUNT PLEASANT MILLS, PA 17853-8753
(717) 856-0220
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017830
PA
Other
Enumeration date
08/08/2018
Last updated
11/23/2018
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