Slavik, Nicole Joy
Slavik, Nicole Joy is an sole proprietor health care provider with primary practice located at 6425 Nicollet Ave , Richfield MN 55423-1675. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Slavik, Nicole Joy can be contacted via phone (612) 798-8170.Contact Information
Primary practice address
6425 Nicollet Ave
Richfield MN 55423-1675
Phone: (612) 798-8170
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP 5609 | Minnesota |
Profile Details
| NPI number | 1609210251 |
|---|---|
| LBN Legal business name | Slavik, Nicole Joy |
| Credentials | PSY.D. , LP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2013 |
| Last updated | Apr 25th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609210251 | NPPES |
| Minnesota | MEDICAID | 87055600 | |
| Minnesota | Other | 1750552196 | |
| Minnesota | Other | C01290 |
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