| Nicole Lightman, Phd | |
|
3400 Avenue Of The Arts Apt A220 Costa Mesa CA 92626-7116 | |
| (520) 400-8171 | |
| Not Available |
| Full Name | Nicole Lightman, Phd |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 3400 Avenue Of The Arts Apt A220, Costa Mesa, California |
| Authorized Official Name and Position | Nicole Lightman (PRESIDENT/ OWNER) |
| Authorized Official Contact | 5204008171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Lightman, Phd 3400 Avenue Of The Arts Apt A220 Costa Mesa CA 92626-7116 Ph: (520) 400-8171 | Nicole Lightman, Phd 3400 Avenue Of The Arts Apt A220 Costa Mesa CA 92626-7116 Ph: (520) 400-8171 |
| NPI Number | 1811498827 |
|---|---|
| Provider Enumeration Date | 02/25/2018 |
| Last Update Date | 02/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811498827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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