Individual
DR. ELIZABETH NICKLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3102 E HIGHLAND AVE, PATTON, CA 92369-7813
(909) 425-7000
Mailing address
10950 CHURCH ST APT 2124, RANCHO CUCAMONGA, CA 91730-8080
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
XXXX
CA
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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