Individual
ANDREW NICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.S., NCSP, LEP
Contact information
Practice address
15 OAKRIDGE RD, HOLDEN, MA 01520-1626
(207) 956-2725
Mailing address
15 OAKRIDGE RD, HOLDEN, MA 01520-1626
(207) 956-2725
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
LEP10000153
MA
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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