Individual
NICOLE QUILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2525 CHICAGO AVE, PSYCHOLOGICAL SERVICES SUITE 217, MINNEAPOLIS, MN 55404-4518
(612) 813-7272
(612) 813-8263
Mailing address
2525 CHICAGO AVE, PSYCHOLOGICAL SERVICES SUITE 217, MINNEAPOLIS, MN 55404-4518
(612) 813-7272
(612) 813-8263
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
MN
Other
Enumeration date
04/18/2016
Last updated
06/02/2022
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