Individual
NICOLE LIEDIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
95 N STATE RT 17 STE 100, PARAMUS, NJ 07652-2648
(551) 368-0304
Mailing address
10346 PARK MEADOWS DR APT 2122, LONE TREE, CO 80124-6873
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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