Nickerson, Raymond Joseph

Nickerson, Raymond Joseph is an individual health care provider with primary practice located at 3095 Richmond Pkwy Ste 201 , Richmond CA 94806-5878. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Nickerson, Raymond Joseph can be contacted via phone (510) 282-4211.

Contact Information

Primary practice address
3095 Richmond Pkwy Ste 201 Richmond CA 94806-5878
Phone: (510) 282-4211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT47165 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY31676 California

Profile Details

NPI number 1982969226
LBN Legal business name Nickerson, Raymond Joseph
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2012
Last updated Apr 27th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982969226 NPPES
Other 1245393503 MEDICAL

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