Mogharreban, Nichole Lynn

Mogharreban, Nichole Lynn is an individual health care provider with primary practice located at 300 Pasteur Dr , Stanford CA 94305. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Sleep Specialist, PhD, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mogharreban, Nichole Lynn can be contacted via phone (650) 723-4000.

Contact Information

Primary practice address
300 Pasteur Dr Stanford CA 94305
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY30199 California
Other Service Providers / Sleep Specialist, PhD 173F00000X PSY30199 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY30199 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY60446879 Washington

Profile Details

NPI number 1013270180
LBN Legal business name Mogharreban, Nichole Lynn
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2012
Last updated Apr 29th, 2024 - about last year

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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