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Organization

NICOLE TACOMA, PSYD, PC

Active
Other names
Tacoma and Associates, PC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICOLE TACOMA PSYD (LICENSED PSYCHOLOGIST)
(248) 987-0654
Entity
Organization

Contact information

Practice address
17940 FARMINGTON RD STE 220, LIVONIA, MI 48152-3185
(248) 987-0654
Mailing address
29020 RAMBLEWOOD DR, FARMINGTON HILLS, MI 48334-1754

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1629391651
NPI TYPE 1
MI
Enumeration date
08/09/2021
Last updated
08/09/2021
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