Individual
DR. ERIC RICHARD NICELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
970 W WOOSTER ST, STE. 124, BOWLING GREEN, OH 43402-2643
(419) 352-6666
(419) 353-1117
Mailing address
4841 MONROE ST, STE. 100, TOLEDO, OH 43623-4385
(419) 352-6666
(419) 353-1117
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4016
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0698099
—
OH
Enumeration date
03/16/2006
Last updated
01/03/2008
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