Individual
OLGA MAGIDINA NIKELSHPUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D,
Contact information
Practice address
360 ESSEX ST STE 303, HACKENSACK, NJ 07601-8566
(917) 769-6557
Mailing address
360 ESSEX ST STE 303, HACKENSACK, NJ 07601-8566
(917) 769-6557
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
35SI00622100
NJ
103T00000X
Psychologist
020815 -1
NY
Other
Enumeration date
11/19/2014
Last updated
01/24/2020
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