Stacey Ann Nicely
Stacey Ann Nicely is a Clinical Psychologist in Logansport, Indiana. Qualified in 2019, 7 years ago. Practices with Life Coach Psychology PLC, an 11-clinician group and accepts Medicare assignment.
- Years since qualifying
- 7
- In the registry since
- 2017
Practice location Address checks out
1015 Michigan AveLogansport, IN 46947-1526
Phone: (574) 722-5151
Fax: (574) 722-1791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X |
|---|
Record details
| NPI number | 1710401310 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 26, 2017 |
| Last updated in NPPES | July 26, 2017 |
| Mailing address | 800 Fulton St, Logansport, IN 46947-1577 |
Medicare enrollment
| Medicare specialty | CLINICAL PSYCHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Life Coach Psychology Plc — 11 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Logansport
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Steven Andrew Hawley, PSYD
1015 Michigan Ave, Logansport, IN 46947-1526 · (574) 722-5151
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Brett Kuykendall, PSYD
1015 Michigan Ave, Logansport, IN 46947-1526 · (574) 722-5151
-
Dr. Amanda M. Wickett, PSYD, HSPP
1807 Smith St, Logansport, IN 46947-1576 · (574) 732-1414
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Robin E Young, PSYD
1807 Smith St, Logansport, IN 46947-1576 · (574) 732-1414