Issa, Nicole

Issa, Nicole is an individual health care provider with primary practice located at 382 Thayer St , Providence RI 02906-1558. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Issa, Nicole can be contacted via phone (401) 330-5882.

Contact Information

Primary practice address
382 Thayer St Providence RI 02906-1558
Phone: (401) 330-5882
Fax: (401) 226-0137
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 9797 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 021654 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS01615 Rhode Island

Profile Details

NPI number 1154458438
LBN Legal business name Issa, Nicole
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Jul 25th, 2021 - about 4 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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