Provider Demographics
NPI:1023387214
Name:SICARD, DANIKA (ND, LAC)
Entity Type:Individual
Prefix:DR
First Name:DANIKA
Middle Name:
Last Name:SICARD
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 OLD AMHERST RD
Mailing Address - Street 2:
Mailing Address - City:BELCHERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01007-9745
Mailing Address - Country:US
Mailing Address - Phone:413-887-7681
Mailing Address - Fax:
Practice Address - Street 1:145 OLD AMHERST RD
Practice Address - Street 2:
Practice Address - City:BELCHERTOWN
Practice Address - State:MA
Practice Address - Zip Code:01007-9745
Practice Address - Country:US
Practice Address - Phone:413-887-7681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-19
Last Update Date:2012-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT099.0063572175F00000X
MA250324171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No175F00000XOther Service ProvidersNaturopath