Nicklen, Gerald David

Nicklen, Gerald David is an sole proprietor health care provider with primary practice located at 9950 Us Highway 98 W Lot F6 , Miramar Beach FL 32550-4994. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Nicklen, Gerald David can be contacted via phone (850) 543-7776.

Contact Information

Primary practice address
9950 Us Highway 98 W Lot F6 Miramar Beach FL 32550-4994
Phone: (850) 543-7776
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC302634 District of Columbia

Profile Details

NPI number 1558496919
LBN Legal business name Nicklen, Gerald David
Credentials PHD, LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2007
Last updated Jul 8th, 2007 - about 18 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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