| Nicole Smith, | |
|
Rt. 10 Three Mile Curve, Logan, WV 25601-9998 | |
| (304) 792-7130 | |
| (304) 792-7146 |
| Full Name | Nicole Smith |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | Rt. 10 Three Mile Curve, Logan, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316097538 | NPI | - | NPPES |
| 0005460001 | Medicaid | WV | |
| 0005460002 | Medicaid | WV | |
| 3810011604 | Medicaid | WV | |
| 0005460000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 923 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Smith, Po Box 176, Logan, WV 25601-0176 Ph: (304) 792-7130 | Nicole Smith, Rt. 10 Three Mile Curve, Logan, WV 25601-9998 Ph: (304) 792-7130 |
Mrs. Krystal Gail Stollings, MA ED.S Psychologist Medicare: Not Enrolled in Medicare Practice Location: 506 Holly Ave, Logan, WV 25601 Phone: 304-792-2088 Fax: 304-752-7471 | |
Angel Dawn Glick, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 306 Main St, Logan, WV 25601 Phone: 304-752-7707 Fax: 304-752-0772 | |
Mrs. Michelle Robertson Akers, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 306 Main St, Logan, WV 25601 Phone: 304-752-7707 Fax: 304-752-0772 | |
Jenna Marie Rycek, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5499 Old Logan Rd, Logan, WV 25601 Phone: 308-627-4711 | |
Staci Johnson, ED.S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 66 School St, Monaville, Logan, WV 25601 Phone: 304-792-2089 | |
Mrs. Cassandra Richardson, MA EDS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 66 School St, Logan, WV 25601 Phone: 304-792-2082 |