Individual
NICOLE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
70 JEWETT PKWY, BUFFALO, NY 14214-2322
(678) 638-9483
Mailing address
70 JEWETT PKWY, BUFFALO, NY 14214-2322
(678) 638-9483
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
03/18/2019
Last updated
09/11/2025
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