Stacey Ann Nicely

NPI #1710401310 in Logansport, Indiana

Provider Information

NPI Number: 1710401310
Entity Type: Individual
Name: Stacey Ann Nicely
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Enumeration Date: Jul 26, 2017
Last Updated: Jul 26, 2017

Practice Location

Address: 1015 MICHIGAN AVE
City: Logansport
State: Indiana
ZIP Code: 46947-1526
Phone: (574) 722-5151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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