Provider Demographics
NPI:1952313033
Name:SOKOLOWSKI-PARMELEE, NICOLE RENEE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:RENEE
Last Name:SOKOLOWSKI-PARMELEE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:NICOLE
Other - Middle Name:RENEE
Other - Last Name:PARMELEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:34 N ISLAND AVE
Mailing Address - Street 2:STE F
Mailing Address - City:BATAVIA
Mailing Address - State:IL
Mailing Address - Zip Code:60510-1996
Mailing Address - Country:US
Mailing Address - Phone:630-940-4041
Mailing Address - Fax:
Practice Address - Street 1:34 N ISLAND AVE
Practice Address - Street 2:STE F
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-1996
Practice Address - Country:US
Practice Address - Phone:630-940-4041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.006275103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical