Individual
DR. STEVEN NIEL NICKOLAISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, MA
Contact information
Practice address
1208 E 3300 S, SALT LAKE CITY, UT 84106-2522
(801) 483-1600
Mailing address
606 S 1100 E, SALT LAKE CITY, UT 84102-3902
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
8152100-2501
UT
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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