Vienna, Nicole

Vienna, Nicole is an sole proprietor health care provider with primary practice located at 464 E Bonita Ave Suite 11, San Dimas CA 91773-3144. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Vienna, Nicole can be contacted via phone (626) 709-3494.

Contact Information

Primary practice address
464 E Bonita Ave Suite 11 San Dimas CA 91773-3144
Phone: (626) 709-3494
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1073702197
LBN Legal business name Vienna, Nicole
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2007
Last updated Feb 24th, 2017 - about 7 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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