Nickerson, Kathleen Anne

Nickerson, Kathleen Anne is an individual health care provider with primary practice located at 280 Newport Center Dr Suite 200, Newport Beach CA 92660-7526. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Nickerson, Kathleen Anne can be contacted via phone (949) 222-6688.

Contact Information

Primary practice address
280 Newport Center Dr Suite 200 Newport Beach CA 92660-7526
Phone: (949) 222-6688
Fax: (949) 716-7885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY20446 California

Profile Details

NPI number 1639219694
LBN Legal business name Nickerson, Kathleen Anne
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Apr 11th, 2008 - about 17 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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