Female

Dr. Nicole L. Bickham PH.D.

Psychologist in Mequon, WI(View on Map)

Full Name

Dr. Nicole L Bickham PH.D.

NPI Number

1134666514

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/24/2017

Specialties

(Taxonomies)

Code

103T00000X

Primary Taxonomy

Yes

Licenses

State

Wisconsin

License Number

3577-57

Contact
Information

Purpose

Mailing
Location

Address

661 LAVERNE DR
1035 W GLEN OAKS LN STE 204

City

Green Bay
Mequon

State

WI
WI

Postal Code

54311-5931
53092-3395

Country

US
US

Telephone Number

(414) 858-8085
(414) 858-8085

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/10/2021

Provider Address

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