Provider Demographics
NPI:1912446048
Name:NEW, NICOLE OGIER (PSYD)
Entity Type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:OGIER
Last Name:NEW
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:NICOLE
Other - Middle Name:THERESE
Other - Last Name:OGIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:5666 WESTWOOD CT
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48301-1237
Mailing Address - Country:US
Mailing Address - Phone:248-285-9151
Mailing Address - Fax:
Practice Address - Street 1:340 N MAIN ST STE 202
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-1290
Practice Address - Country:US
Practice Address - Phone:248-285-9151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-22
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301012267103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist