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Contact Information

STEVEN N NICKOLAISEN, PHD, MA
1208 E 3300 S
SALT LAKE CITY, UT84106-2522
 Phone: 801-483-1600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for STEVEN N NICKOLAISEN · (Male)

NPI Number 1841857315
Status Active
Credentials PHD, MA
Entity Individual
Enumeration date 05/21/2019
Last updated 05/21/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 8152100-2501
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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