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

Nicole Lee Dolan, PHDLFMT

Individual provider Marriage & Family Therapist · NPI 1922465657

Nicole Lee Dolan, PHDLFMT is a Marriage and Family Therapist in Pismo Beach, California. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2016

Practice location Address checks out

1390 Price St
Pismo Beach, CA 93449-2218
Phone: (805) 608-8824
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 87662 (CA)

Record details

NPI number1922465657
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHDLFMT
Sole proprietorYes
NPI enumeratedJanuary 26, 2016
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025
Mailing address1390 Price St, Pismo Beach, CA 93449-2218

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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