DR. Gerald David Nicklen, PHD, LICSW
NPI #1558496919 in Miramar Beach, Florida
Provider Information
- NPI Number
- 1558496919
- Entity Type
- Individual
- Name
- DR. Gerald David Nicklen, PHD, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- PHD, LICSW
- Enumeration Date
- Feb 23, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 9950 US HIGHWAY 98 W LOT F6
- City
- Miramar Beach
- State
- Florida
- ZIP Code
- 32550-4994
- Phone
- (850) 543-7776
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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