Individual provider · Type 1 NPI

Stacey Ann Nicely

Psychologist · Logansport, IN

NPI number 1710401310 Active

Practice location

1015 Michigan Ave
Logansport, IN 46947-1526

Call (574) 722-5151 Map

Fax (574) 722-1791

Mailing address

800 Fulton St
Logansport, IN 46947-1577

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XNone listed

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1710401310

Stacey Ann Nicely's National Provider Identifier is 1710401310, issued on Jul 26, 2017. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Logansport, IN. The record was last updated on Jul 26, 2017.