IndividualActive
Kris Nicolich, LLP
NPI 1790203750 · Cognitive & Behavioral Psychologist · Dexter, MI
Provider details
- NPI number
- 1790203750
- Entity type
- Individual
- Primary specialty
- Cognitive & Behavioral PsychologistBehavioral Health & Social Service Providers
- Credential
- LLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6301011113 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3258 Broad St
Dexter, MI 48130-1142
Phone: (734) 718-4579
Approximate (ZIP-level) locationGet directions
Mailing address
3265 Eastridge Dr
Dexter, MI 48130-9392
Registry dates
- Enumerated
- 2017-08-30
- Last updated
- 2017-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.