Individual
DR. SHANNON MAUREEN NICOLOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., L.P., RPT
Contact information
Practice address
323 BUDFIELD ST, JOHNSTOWN, PA 15904-3213
(651) 894-2916
Mailing address
807 SUNNEHANNA DRIVE, JOHNSTOWN, PA 15905
(651) 894-2916
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS017512
PA
Other
Enumeration date
05/27/2008
Last updated
06/18/2014
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