Individual
DR. NICOLE D TACOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D, LP
Contact information
Practice address
17282 FARMINGTON RD, LIVONIA, MI 48152-3151
(248) 987-0654
(248) 530-4325
Mailing address
4069 HARBOR VISTA DR, ORCHARD LAKE, MI 48323-1617
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014882
MI
Other
Enumeration date
03/04/2010
Last updated
02/03/2026
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