| NPI | 1952784589 |
|---|---|
| Other Name | JANA W NICKELE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071009044) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071009044) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2023-10-18 |