Darrell Lee Nicks is a Clinical in Cary, Illinois. Darrell Lee Nicks practices all healthcare services and medical treatments related to Clinical. The NPI Number for Darrell Lee Nicks is 1982752010. The last update date is 2007-07-08.
Darrell Lee Nicks's current location address is 114 Cary St, Cary, Illinois. You can contact this provider via phone number 8476040115 and fax number 8474628718. The mailing address for Darrell Lee Nicks is 114 Cary St, Cary, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Darrell Lee Nicks |
|---|---|
| Address | 114 Cary St, Cary, Illinois |
| Phone Number | 8476040115 |
| Fax Number | 8474628718 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1982752010 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 114 Cary St |
|---|---|
| City | Cary |
| State | Illinois (IL) |
| Post Code | 600132706 |
| Phone Number | 8476040115 |
| Fax Number | 8474628718 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Darrell Lee Nicks's unique identification number?
The Darrell Lee Nicks has been assigned the NPI (National Provider Identifier) Number 1982752010 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Darrell Lee Nicks's physical address?
The Darrell Lee Nicks is physically located at 114 Cary St, in the city of Cary, IL, with the postal code 600132706.
What is the Darrell Lee Nicks's area of specialization and corresponding taxonomy classification?
The Darrell Lee Nicks's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1982752010 to Darrell Lee Nicks?
The Darrell Lee Nicks received its 1982752010 assignment from the Centers for Medicare & Medicaid Services on 2007-01-08.
When was the information related to Darrell Lee Nicks most recently updated or refreshed?
The details pertaining to the Darrell Lee Nicks, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.