IndividualActive
Nickeria Fearon
NPI 1114892114 · Intellectual & Developmental Disabilities Psychologist · Myrtle Beach, SC
Provider details
- NPI number
- 1114892114
- Entity type
- Individual
- Primary specialty
- Intellectual & Developmental Disabilities PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Practice location
4320 Falls Oaks St
Myrtle Beach, SC 29579-4684
Phone: (954) 305-3646
Mailing address
4320 Falls Oaks St
Myrtle Beach, SC 29579-4684
Registry dates
- Enumerated
- 2025-10-08
- Last updated
- 2025-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.