Petzolt, Nicole

Petzolt, Nicole is an sole proprietor health care provider with primary practice located at 3512 Quentin Rd Ste 110 , Brooklyn NY 11234-4245. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Petzolt, Nicole can be contacted via phone (718) 854-8370.

Contact Information

Primary practice address
3512 Quentin Rd Ste 110 Brooklyn NY 11234-4245
Phone: (718) 854-8370
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 020428-1 New York
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 020428-1 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 020428-1 New York

Profile Details

NPI number 1063836500
LBN Legal business name Petzolt, Nicole
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2014
Last updated May 13th, 2021 - about 5 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.

Request for update

Popular Providers