Individual
DR. KAREN LOUISE NICKL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD PSYCHOLOGIST
Contact information
Practice address
415 MEDICAL DR, SUITE B101, BOUNTIFUL, UT 84010-4946
(801) 703-4473
Mailing address
415 MEDICAL DR, SUITE B101, BOUNTIFUL, UT 84010-4946
(801) 703-4473
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5204774-2501
UT
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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