Ware Spencer, Nicole Antoinette

Ware Spencer, Nicole Antoinette is an sole proprietor health care provider with primary practice located at 4325 1St Ave # 1461 , Tucker GA 30084-4498. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Ware Spencer, Nicole Antoinette can be contacted via phone (678) 404-1077.

Contact Information

Primary practice address
4325 1St Ave # 1461 Tucker GA 30084-4498
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301013431 Michigan
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY004171 Georgia

Profile Details

NPI number 1316141377
LBN Legal business name Ware Spencer, Nicole Antoinette
Credentials PSY D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2007
Last updated Jan 12th, 2023 - about 3 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.

Request for update

Popular Providers