Active NPIIndividual providerSole proprietor

Dr. Nicole Dock, PSYD

Psychologist, Clinical in Blackwood, New Jersey

NPI Number1619376852
Practice location
111 Celestino CT, Blackwood, NJ 08012-4435
Fax
—
Last updated
August 13, 2014

Nicole Dock is a Psychologist, Clinical based in Blackwood, NJ. Nicole Dock practices in Blackwood, NJ and has the professional credentials of PSYD. The NPI Number for Nicole Dock is 1619376852 and holds a License No. 35SI00529200 (NJ). The current practice location address for Nicole Dock is 111 Celestino CT, Blackwood, NJ 08012-4435 and can be reached out via phone at 862-763-7965.

Provider Profile Details

NPI Number
1619376852
Provider Name
Nicole Dock
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
111 Celestino CT, Blackwood, NJ 08012-4435
Phone Number
862-763-7965
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Other Names
Dr. Nicole Dock, PSYD (Professional Name)
Provider Enumeration Date
August 13, 2014
Last Update Date
August 13, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Celestino CT
Blackwood, NJ 08012-4435
Zip
08012-4435
Phone Number
862-763-7965
Blackwood, NJ 08012Get directions →

Provider Business Mailing Address Details

Address
111 Celestino CT
Blackwood, NJ 08012-4435
City
Blackwood
State
NJ
Zip
08012-4435
Phone Number
862-763-7965

License Information

License Number
35SI00529200
License State
NJ
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Nicole Dock, PSYD?

The NPI number of Dr. Nicole Dock, PSYD is 1619376852. It was assigned on August 13, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr. Nicole Dock, PSYD?

Dr. Nicole Dock, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 35SI00529200.

Where does Dr. Nicole Dock, PSYD practice?

The practice location is 111 Celestino CT, Blackwood, NJ 08012-4435. The office can be reached at 862-763-7965 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619376852 directly on the NPPES registry website.

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