Dr. Karen Louise Nickl, PhD Psychologist
Psychologist in Bountiful, UT. Individual provider (NPI-1).
NPI number1982139903
StatusActive
Last updated in NPPESApr 27, 2017
Details
- NPI
- 1982139903
- Entity type
- Individual (NPI-1)
- Name
- Dr. Karen Louise Nickl
- Credential
- PhD Psychologist
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 27, 2017
- Last updated
- Apr 27, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 5204774-2501 | UT | Yes |
Practice location
415 Medical DrSuite B101
Bountiful, UT 84010-4946
Phone 801-703-4473
Mailing address
415 Medical DrSuite B101
Bountiful, UT 84010-4946
Phone 801-703-4473
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