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Individual

DR. KATHARINE MARIE NICODEMUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
16529 COASTAL HWY, SUITE 113, LEWES, DE 19958-3605
(302) 645-1300
(302) 645-1317
Mailing address
4011 SPRINGFIELD LN, GREENVILLE, DE 19807-2251
(302) 645-1300
(302) 645-1317

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
BL-0000656
DE
103TC0700X
Clinical Psychologist
BL-0000656
DE

Other

Enumeration date
02/21/2007
Last updated
09/11/2025
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