Individual
MRS. KELLY RENEE NICHOL
Active
Individual
MRS. KELLY RENEE NICHOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCSP
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
90391
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90391
STATE OF DELAWARE DEPARTMENT OF EDUCATION (INITIAL LICENSE)
DE
Enumeration date
09/07/2018
Last updated
09/07/2018
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