Individual
ELIZABETH L. NICKELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., PSY.D.
Contact information
Practice address
400 ESTUDILLO AVE STE 100, SAN LEANDRO, CA 94577-4962
(510) 746-1188
Mailing address
2662 WALLACE ST, OAKLAND, CA 94606-3346
(510) 414-2416
(510) 250-6923
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY22119
CA
Other
Enumeration date
05/30/2008
Last updated
02/16/2021
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