Individual
NICOLE GEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
3005 BOARDWALK ST STE 201, ANN ARBOR, MI 48108-5218
(734) 222-9277
Mailing address
3005 BOARDWALK ST STE 201, ANN ARBOR, MI 48108-5218
(734) 222-9277
(888) 972-3797
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301019738
MI
103T00000X
Psychologist
6351004729
MI
103TC0700X
Clinical Psychologist
Primary
6301019738
MI
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473276
—
OH
Enumeration date
07/18/2014
Last updated
12/10/2025
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