Individual provider · Type 1 NPI

Nikki Dubose, CEDRC, PSYD STUDENT

Student in an Organized Health Care Education/Training Program · Woodland Hills, CA

NPI number 1649934811 Active

Practice location

4519 Ensenada Dr
Woodland Hills, CA 91364-5410

Call (310) 747-5855 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1649934811

Nikki Dubose, CEDRC, PSYD STUDENT's National Provider Identifier is 1649934811, issued on Oct 25, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Woodland Hills, CA. The record was last updated on Oct 25, 2021.