Individual
DR. NICOLE BERGAMO ISBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LP
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
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301019415
MI
103T00000X
Psychologist
6351004559
MI
103T00000X
Psychologist
6362001372
MI
103TC0700X
Clinical Psychologist
Primary
6301019415
MI
Other
Enumeration date
08/21/2019
Last updated
10/09/2024
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