Individual provider · Type 1 NPI
Nickeria Fearon
Intellectual & Developmental Disabilities Psychologist · Myrtle Beach, SC
NPI number
1114892114
Active
Practice location
4320 Falls Oaks St
Myrtle Beach, SC 29579-4684
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | None listed |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
About NPI 1114892114
Nickeria Fearon's National Provider Identifier is 1114892114, issued on Oct 8, 2025. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Myrtle Beach, SC. The record was last updated on Oct 8, 2025.