Individual
DR. NICOLE THERESE LEVEILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, PPS
Contact information
Practice address
511 S ORCHARD AVE, UKIAH, CA 95482-3470
(707) 472-5000
Mailing address
475 W CHURCH ST, UKIAH, CA 95482-4817
(707) 362-6808
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
CA
Other
Enumeration date
06/11/2013
Last updated
09/17/2021
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