Fogleman, Nicholas Dale
Fogleman, Nicholas Dale is an individual health care provider with primary practice located at 101 Renee Lynn Ct , Carrboro NC 27510-6511. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Fogleman, Nicholas Dale can be contacted via phone (919) 966-5171.Contact Information
Primary practice address
101 Renee Lynn Ct
Carrboro NC 27510-6511
Phone: (919) 966-5171
Fax: (919) 966-2230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 103414 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 103414 | North Carolina |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 103414 | North Carolina |
Profile Details
| NPI number | 1205593332 |
|---|---|
| LBN Legal business name | Fogleman, Nicholas Dale |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2021 |
| Last updated | Feb 21st, 2022 - about 3 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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