Individual
NICOLE NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
622 E NICOLET AVE, PHOENIX, AZ 85020-4943
(480) 766-8646
Mailing address
622 E NICOLET AVE, PHOENIX, AZ 85020-4943
(480) 766-8646
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
AZ
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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