Nickerson & Associates, P.c. | |
1n141 County Farm Rd Suite 130 Winfield IL 60190-2032 | |
(630) 752-9725 | |
(630) 752-9726 |
Full Name | Nickerson & Associates, P.c. |
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Speciality | Psychologist - Clinical |
Location | 1n141 County Farm Rd, Winfield, Illinois |
Authorized Official Name and Position | Debra Nickerson (PRESIDENT) |
Authorized Official Contact | 6307529725 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nickerson & Associates, P.c. Po Box 239 Winfield IL 60190-0239 Ph: () - | Nickerson & Associates, P.c. 1n141 County Farm Rd Suite 130 Winfield IL 60190-2032 Ph: (630) 752-9725 |
NPI Number | 1467599175 |
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Provider Enumeration Date | 01/31/2007 |
Last Update Date | 03/06/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467599175 | NPI | - | NPPES |
022-32734 | Other | BCBS GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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