Individual
NICOLE J MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., NCSP
Contact information
Practice address
2948 ARTESIAN RD STE 112, NAPERVILLE, IL 60564-8559
(888) 428-7890
Mailing address
2948 ARTESIAN RD STE 112, NAPERVILLE, IL 60564-8559
(888) 428-7890
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
IL
Other
Enumeration date
02/06/2023
Last updated
08/15/2023
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