Nicole Lynn Minnis, MA, LLP
Psychologist, Clinical in Midland, MI. Individual provider (NPI-1).
NPI number1063501351
StatusActive
Last updated in NPPESMay 15, 2013
Details
- NPI
- 1063501351
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Nicole Lynn Minnis
- Credential
- MA, LLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 12, 2006
- Last updated
- May 15, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 6301011787 | MI | Yes |
Practice location
218 Fast Ice DrMidland, MI 48642-6167
Phone 989-631-2320 · Fax 989-631-9214
Mailing address
8141 Creston DrFreeland, MI 48623-8722
Phone 989-245-0371
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