186 COYLE ST
PORTLAND, ME 04103-4006 US PECOS Enrolled
Lee Katherine Nicoloff
Clinical Psychologist
- PORTLAND, ME
- Phone: (207)-799-1441
- Last Updated 2/15/2022
Overview
Lee Katherine Nicoloff is a Clinical Psychologist in the PORTLAND area and has over 41 years of experience. Lee Katherine Nicoloff primary office location is at 186 COYLE ST and new patients are welcome to contact this healthcare provider for an appointment. We do not know where she was educated but we know that she graduated in 1983 The NPI number is 1205858180 and the information was updated approximately 2 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| PS632 | ME |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Clinical Psychologist - Taxonomy Code 103TC0700X | ME | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20050721000747 |
| PECOS Individual PAC ID: | 1052348901 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | - |
| Eligible to order/refer Power Mobility Devices (PMD) | - |
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