Individual
MR. BRUCE EDWARD NICELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NCSP
Contact information
Practice address
737 E HUDSON ST, COLUMBUS, OH 43211-1034
(614) 365-5220
Mailing address
6949 COOK RD, POWELL, OH 43065-8970
(614) 365-5220
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
12/05/2006
Last updated
08/08/2014
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