Individual
NANCY L. RICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
16 ALDRIN RD, PLYMOUTH, MA 02360-4804
(508) 747-6907
(508) 746-8456
Mailing address
18 CLYFTON ST, PLYMOUTH, MA 02360-3904
(508) 747-6907
(508) 746-8456
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1859
MA
103TC0700X
Clinical Psychologist
1859
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0515868
—
MA
Enumeration date
04/01/2006
Last updated
09/20/2010
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