Dr. Darrell Lee Nicks, Psy.D.
Psychologist, Clinical in Cary, IL. Individual provider (NPI-1).
NPI number1982752010
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1982752010
- Entity type
- Individual (NPI-1)
- Name
- Dr. Darrell Lee Nicks
- Credential
- Psy.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 8, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 071005092 | IL | Yes |
Practice location
114 Cary StCary, IL 60013-2706
Phone 847-604-0115 · Fax 847-462-8718
Mailing address
114 Cary StCary, IL 60013-2706
Phone 847-604-0115 · Fax 847-462-8718
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