Individual provider · Type 1 NPI

Nicole Annette Nicksic

Developmental Therapist · Highland, IN

NPI number 1659854263 Active

Practice location

2906 Highway Ave
Highland, IN 46322-1631

Call (219) 513-8311 Map

Mailing address

7538 Maplewood Ave
Hammond, IN 46324-3046

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1659854263

Nicole Annette Nicksic's National Provider Identifier is 1659854263, issued on Sep 10, 2018. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Highland, IN. The record was last updated on Sep 10, 2018.