Smith, Nicole Lynn
Smith, Nicole Lynn is an sole proprietor health care provider with primary practice located at 10273 Yellow Circle Dr , Minnetonka MN 55343-9144. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Smith, Nicole Lynn can be contacted via phone (952) 215-3759.Contact Information
Primary practice address
10273 Yellow Circle Dr
Minnetonka MN 55343-9144
Phone: (952) 215-3759
Fax: (952) 401-9805
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | LP5504 | Minnesota |
Profile Details
NPI number | 1215206552 |
---|---|
LBN Legal business name | Smith, Nicole Lynn |
Credentials | PSY.D., L.P. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 15th, 2011 |
Last updated | Jun 26th, 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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