Individual
DR. STEPHANIE NICOLAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
13995 W STATLER BLVD STE 200, SURPRISE, AZ 85374-5503
(623) 478-3100
Mailing address
13995 W STATLER BLVD STE 200, SURPRISE, AZ 85374-5503
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY005314
AZ
103TC0700X
Clinical Psychologist
PSY29146
CA
Other
Enumeration date
08/28/2011
Last updated
01/15/2021
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