Walters, Nicolle S

Walters, Nicolle S is an sole proprietor health care provider with primary practice located at 77564 Country Club Dr Suite 408, Palm Desert CA 92211-0484. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Walters, Nicolle S can be contacted via phone (760) 898-2968.

Contact Information

Primary practice address
77564 Country Club Dr Suite 408 Palm Desert CA 92211-0484
Fax: (760) 345-3888
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY15949 California

Profile Details

NPI number 1881752558
LBN Legal business name Walters, Nicolle S
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Jan 15th, 2015 - about 9 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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