Individual
DR. NICOLE DANIELLE PUKAY-MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1000 S FORT THOMAS AVE, FORT THOMAS, KY 41075-2305
(859) 572-6280
(859) 572-6223
Mailing address
1000 S FORT THOMAS AVE, FORT THOMAS, KY 41075-2305
(859) 572-6280
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PP4162
NC
Other
Enumeration date
03/01/2013
Last updated
01/11/2021
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