Individual
DR. NICOLE JOANN POLANICHKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
100 N ACADEMY AVE, DIVISION OF PSYCHIATRY; GEISINGER MEDICAL CENTER, DANVILLE, PA 17822-1335
(570) 271-8255
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS016679
PA
Other
Enumeration date
07/22/2009
Last updated
09/24/2020
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