Redzic, Nicole M.

Redzic, Nicole M. is an sole proprietor health care provider with primary practice located at 845 El Camino Real , Menlo Park CA 94025-4807. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Redzic, Nicole M. can be contacted via phone (650) 687-7459.

Contact Information

Primary practice address
845 El Camino Real Menlo Park CA 94025-4807
Phone: (650) 687-7459
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 180.006807 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 26259 California

Profile Details

NPI number 1851609531
LBN Legal business name Redzic, Nicole M.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2010
Last updated Mar 13th, 2014 - about 11 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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