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Individual

NICOLE REYA MERRIGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPA

Contact information

Practice address
1606 PHYSICIANS DR, SUITE 104, WILMINGTON, NC 28401-7361
(910) 343-6890
(910) 332-1233
Mailing address
1606 PHYSICIANS DR, SUITE 104, WILMINGTON, NC 28401-7361
(910) 343-6890
(910) 332-1233

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4471
NC
103TA0400X
Addiction (Substance Use Disorder) Psychologist
4471
NC
103TB0200X
Cognitive & Behavioral Psychologist
4471
NC
103TC0700X
Clinical Psychologist
4471
NC
103TH0100X
Health Service Psychologist
4471
NC
103TP2701X
Group Psychotherapy Psychologist
4471
NC

Other

Enumeration date
11/27/2012
Last updated
07/31/2013
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