Individual
DR. NICOLE L BICKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1035 W GLEN OAKS LN STE 204, MEQUON, WI 53092-3395
(414) 858-8085
Mailing address
661 LAVERNE DR, GREEN BAY, WI 54311-5931
(414) 858-8085
(414) 395-4627
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3577-57
WI
Other
Enumeration date
01/24/2017
Last updated
08/10/2021
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