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
Fax: (919) 966-2230
Website:

Health care specialties

SpecialtyCodeLicense #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 2 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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