Nicole M Redzic, PSYD is a
Psychologist - Clinical based in Menlo Park, California. Nicole M Redzic is licensed to practice in California (license number PSY 26259) and her current practice location is
845 El Camino Real, Menlo Park, California. She can be reached at her office (for appointments etc.) via phone at
(650) 687-7459.
NPI number for Nicole M Redzic is 1851609531 and her current mailing address is 1306 6th Ave, San Francisco, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851609531.
Healthcare Provider's Profile
| Full Name | Nicole M Redzic |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 845 El Camino Real, Menlo Park, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1851609531
- Provider Enumeration Date: 09/16/2010
- Last Update Date: 03/13/2014
Medical Identifiers
Medical identifiers for Nicole M Redzic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851609531 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 180.006807 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY 26259 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole M Redzic is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nicole M Redzic, PSYD
1306 6th Ave,
San Francisco, CA 94122-2504
Ph: (650) 687-7459 | Nicole M Redzic, PSYD
845 El Camino Real,
Menlo Park, CA 94025-4807
Ph: (650) 687-7459 |
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