Individual
DR. NICHOLAS DALE FOGLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
103414
NC
103TC0700X
Clinical Psychologist
103414
NC
103TC2200X
Clinical Child & Adolescent Psychologist
103414
NC
Other
Enumeration date
11/23/2021
Last updated
02/21/2022
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