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NANCY L. RICKS ED.D.

Clinical Neuropsychologist

Plymouth, Massachusetts

Provider NPI: 1588625008

Provider Information:
 NANCY L. RICKS ED.D.
Gender: F
Sole Proprietor


Practice Location:
16 ALDRIN RD  PLYMOUTH, MA 02360 US
Tel: 508-747-6907  Fax: 508-746-8456

Business Mailing Address:
18 CLYFTON ST  PLYMOUTH, MA 02360 US
Tel: 508-747-6907  Fax: 508-746-8456

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
MA1859
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MA1859

Other Provider Identifiers:

IssuerNumberStateType
0515868MA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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