IndividualActive
Andrew Nickerson, ED.S., NCSP, LEP
NPI 1235938796 · School Psychologist · Holden, MA
Provider details
- NPI number
- 1235938796
- Entity type
- Individual
- Primary specialty
- School PsychologistBehavioral Health & Social Service Providers
- Credential
- ED.S., NCSP, LEP
- Sex
- Male
- Sole proprietor
- Yes
- License
- LEP10000153 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
15 Oakridge Rd
Holden, MA 01520-1626
Phone: (207) 956-2725
Approximate (ZIP-level) locationGet directions
Mailing address
15 Oakridge Rd
Holden, MA 01520-1626
Registry dates
- Enumerated
- 2025-03-10
- Last updated
- 2025-03-10
- Certified
- 2025-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.