Individual
DR. NICOLE ISSA
Active
Individual
DR. NICOLE ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
021654
NY
103TC0700X
Clinical Psychologist
9797
MA
103TC0700X
Clinical Psychologist
Primary
PS01615
RI
Other
Enumeration date
02/27/2007
Last updated
07/25/2021
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