Individual
NICOLE ERIKA KHAULI RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 727-4018
Mailing address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
027574
NY
103TC0700X
Clinical Psychologist
Primary
PSY900341
GA
Other
Enumeration date
08/16/2021
Last updated
04/20/2026
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