Individual
NICOLE EHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
409 PLYMOUTH RD STE 126, PLYMOUTH, MI 48170-4080
(248) 837-0303
Mailing address
409 PLYMOUTH RD STE 126, PLYMOUTH, MI 48170-4080
(248) 837-0303
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361000909
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11639668
CAQH#
—
Enumeration date
06/28/2006
Last updated
11/19/2025
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