Anderson, Nicolle

Anderson, Nicolle is an sole proprietor health care provider with primary practice located at 1905 J N Pease Pl Suite 104, Charlotte NC 28262-4557. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Anderson, Nicolle can be contacted via phone (704) 599-4679.

Contact Information

Primary practice address
1905 J N Pease Pl Suite 104 Charlotte NC 28262-4557
Phone: (704) 599-4679
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 102528 North Carolina

Profile Details

NPI number 1386859429
LBN Legal business name Anderson, Nicolle
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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