Individual
MS. SARAH KYDE NICOLETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
30 WARREN ST, BOSTON, MA 02135-3602
(617) 254-3800
(617) 779-1262
Mailing address
333 N MICHIGAN AVE, SUITE # 1900, CHICAGO, IL 60601-3901
(773) 321-2769
(312) 540-0944
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.007838
IL
Other
Enumeration date
09/04/2007
Last updated
01/10/2012
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