Medina, Nicole J

Medina, Nicole J is an individual health care provider with primary practice located at 2948 Artesian Rd Ste 112 , Naperville IL 60564-8559. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Medina, Nicole J can be contacted via phone (888) 428-7890.

Contact Information

Primary practice address
2948 Artesian Rd Ste 112 Naperville IL 60564-8559
Phone: (888) 428-7890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X Illinois

Profile Details

NPI number 1730885302
LBN Legal business name Medina, Nicole J
Credentials PSY.D., NCSP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2023
Last updated Aug 15th, 2023 - 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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