Kerri Lauren Nickles, EDS is a
Psychologist - School based in Lagrange, Indiana. Kerri Lauren Nickles is licensed to practice in Indiana (license number 10322352) and her current practice location is
825 E 075 N, Lagrange, Indiana. She can be reached at her office (for appointments etc.) via phone at
(260) 499-2400.
NPI number for Kerri Lauren Nickles is 1598583833 and her current mailing address is 825 E 075 N, Lagrange, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598583833.
Healthcare Provider's Profile
| Full Name | Kerri Lauren Nickles |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - School |
|---|
| Location | 825 E 075 N, Lagrange, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1598583833
- Provider Enumeration Date: 09/26/2024
- Last Update Date: 09/26/2024
Medical Identifiers
Medical identifiers for Kerri Lauren Nickles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1598583833 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TS0200X | Psychologist - School | 10322352 (Indiana) | 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. Kerri Lauren Nickles 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 |
Kerri Lauren Nickles, EDS 825 E 075 N, Lagrange, IN 46761-2099 Ph: (260) 499-2400 | Kerri Lauren Nickles, EDS 825 E 075 N, Lagrange, IN 46761-9360 Ph: (260) 499-2400 |
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