Individual
MATTHEW PAUL NICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLP
Contact information
Practice address
2075 W BIG BEAVER RD STE 520, TROY, MI 48084-3442
(248) 646-6659
Mailing address
2075 W BIG BEAVER RD STE 520, TROY, MI 48084-3442
(248) 646-6659
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361008105
MI
103T00000X
Psychologist
Primary
6362009788
MI
103TA0700X
Adult Development & Aging Psychologist
6362009788
MI
103TC0700X
Clinical Psychologist
6362009788
MI
103TC1900X
Counseling Psychologist
6362009788
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6361008105
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6362009788
MI
103TF0000X
Family Psychologist
6362009788
MI
Other
Enumeration date
08/24/2023
Last updated
03/23/2026
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