Individual
DR. NICOLE CZECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
4250 WOODWARD AVE, DETROIT, MI 48201-1818
(313) 446-8021
(313) 833-3393
Mailing address
4250 WOODWARD AVE, DETROIT, MI 48201-1818
(313) 446-8021
(313) 833-3393
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301015073
MI
103TC0700X
Clinical Psychologist
Primary
6301017135
MI
Other
Enumeration date
12/28/2012
Last updated
07/21/2022
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