Nickerson, Maureen Tara
Nickerson, Maureen Tara is an individual health care provider with primary practice located at 850 W. Maple St. , Medical Lake WA 99022. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Nickerson, Maureen Tara can be contacted via phone (509) 565-4000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY60778414 | Washington |
Profile Details
| NPI number | 1578130274 |
|---|---|
| LBN Legal business name | Nickerson, Maureen Tara |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2021 |
| Last updated | Jun 10th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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