Individual
DR. CONNIE NICKOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
311 N MADISON RD, GUILFORD, CT 06437-5028
(203) 779-5490
(203) 896-9830
Mailing address
311 N MADISON RD, GUILFORD, CT 06437-5028
(203) 779-5490
(203) 896-9830
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002270
CT
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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