NPI 1063501351

Nicole Lynn Minnis, MALLP

Practitioner Clinical Psychologist Midland, MI

Practice location

Address: 218 Fast Ice Dr, Midland, MI 48642-6167
Phone: (989) 631-2320
Fax: (989) 631-9214
Mailing address: 8141 Creston Dr, Freeland, MI 48623-8722

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 6301011787 (MI)

Other Psychologist providers in Michigan →

Registry record

NPI: 1063501351
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Oct 2006
Record last updated: 15 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.