Individual
DR. NICOLE J WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
1515 E CEDAR AVE STE B-4, FLAGSTAFF, AZ 86004-1645
(928) 779-4550
(928) 779-4493
Mailing address
3450 N 3RD ST, PHOENIX, AZ 85012-2331
(602) 351-6986
(602) 266-9025
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP5468
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP5468
LICENSE
MN
Enumeration date
01/23/2012
Last updated
02/21/2024
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