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

Nickeria Fearon

Individual provider Intellectual & Developmental Disabilities Psychologist · NPI 1114892114

Nickeria Fearon is an Intellectual & Developmental Disabilities Psychologist in Myrtle Beach, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2025

Practice location Address checks out

4320 Falls Oaks St
Myrtle Beach, SC 29579-4684
Phone: (954) 305-3646
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual & Developmental Disabilities Psychologist (primary) Taxonomy 103TM1800X (SC)

Record details

NPI number1114892114
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 8, 2025
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025