Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Clinton M Nowicke, PSYCHOLOGYASSISTANT

Individual provider Clinical Psychologist · NPI 1831745223

Clinton M Nowicke, PSYCHOLOGYASSISTANT is a Clinical Psychologist in Louisville, Kentucky. Works from 2 locations. Licensed in Kentucky.

Licensed in
KY
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

3840 Ruckriegel Pkwy Ste 105
Louisville, KY 40299-6836
Phone: (502) 261-7227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3086 State Route 160, Gallipolis, OH 45631-8409 — (740) 446-5500

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 277977 (KY)
Psychologist Taxonomy 103T00000X

Record details

NPI number1831745223
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYCHOLOGYASSISTANT
Sole proprietorNo
NPI enumeratedAugust 13, 2019
Last updated in NPPESFebruary 22, 2024
Certification dateFebruary 22, 2024

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