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Individual

DR. NICHA AMY NASAMRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
2929 COVINGTON CT UNIT 201, LANSING, MI 48912-4940
(517) 258-2424
Mailing address
2929 COVINGTON CT UNIT 201, LANSING, MI 48912-4940
(517) 258-2424

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301018046
MI
103TC0700X
Clinical Psychologist
Primary
6301018046
MI
103TS0200X
School Psychologist
6301018046
MI

Other

Enumeration date
01/28/2020
Last updated
08/20/2020
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