Individual
NICKOLAS MANDZIARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TLLP
Contact information
Practice address
1135 W UNIVERSITY DR STE 445, ROCHESTER HILLS, MI 48307-1897
(248) 413-5027
Mailing address
18911 WALDEN ST APT 201, CLINTON TOWNSHIP, MI 48038-2332
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6362010107
MI
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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