Individual
MIKAYLA SHAE NESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPA, HSP-PA
Contact information
Practice address
1100 W MARKET ST, GREENSBORO, NC 27403-1830
(336) 334-5312
Mailing address
1100 W MARKET ST, GREENSBORO, NC 27403-1830
(336) 334-5312
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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