Individual
DR. ERIC SHAWN NICELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
220 MONTGOMERY ST, STE 1019, SAN FRANCISCO, CA 94104-3402
(415) 955-1975
(415) 901-0675
Mailing address
220 MONTGOMERY ST, STE 1019, SAN FRANCISCO, CA 94104-3402
(415) 955-1975
(415) 901-0675
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY18892
CA
Other
Enumeration date
04/04/2007
Last updated
02/18/2010
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