Individual
DR. LINDA MARIE NICOLOTTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2910A BRIARCLIFF RD, WINSTON SALEM, NC 27106-3077
(336) 748-9070
(336) 773-0332
Mailing address
2910A BRIARCLIFF RD, WINSTON SALEM, NC 27106-3077
(336) 748-9070
(336) 773-0332
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2948
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0454T
BCBS, NC HEALTH CHOICE
NC
01
—
1736
PBH
NC
01
—
2183535
CIGNA
NC
05
—
6000415
—
NC
01
—
990438
CENTERPOINT
NC
Enumeration date
07/03/2006
Last updated
07/09/2007
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