Vivian David-nicolas, is a
Psychologist based in Modesto, California. Vivian David-nicolas is licensed to practice in * (Not Available) (license number ) and her current practice location is
931 10th St # 300, Modesto, California. She can be reached at her office (for appointments etc.) via phone at
(650) 863-4487.
NPI number for Vivian David-nicolas is 1841670197 and her current mailing address is 931 10th St # 300, Modesto, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841670197.
Healthcare Provider's Profile
| Full Name | Vivian David-nicolas |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | 931 10th St # 300, Modesto, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1841670197
- Provider Enumeration Date: 06/02/2015
- Last Update Date: 11/12/2020
Medical Identifiers
Medical identifiers for Vivian David-nicolas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841670197 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | 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. Vivian David-nicolas 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 |
|---|
Vivian David-nicolas,
931 10th St # 300,
Modesto, CA 95354-2305
Ph: (650) 863-4487 | Vivian David-nicolas,
931 10th St # 300,
Modesto, CA 95354-2305
Ph: (650) 863-4487 |
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