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Dr. Eric Richard Nicely, Ph.D.

Psychologist in Bowling Green, OH. Individual provider (NPI-1).

NPI number1790754331
StatusActive
Last updated in NPPESJan 3, 2008

Details

NPI
1790754331
Entity type
Individual (NPI-1)
Name
Dr. Eric Richard Nicely
Credential
Ph.D.
Sex
Male
Sole proprietor
No
Enumeration date
Mar 16, 2006
Last updated
Jan 3, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist4016OHYes

Practice location

970 W Wooster St
Ste. 124
Bowling Green, OH 43402-2643

Phone 419-352-6666 · Fax 419-353-1117

Mailing address

4841 Monroe St
Ste. 100
Toledo, OH 43623-4385

Phone 419-352-6666 · Fax 419-353-1117

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