Search › Wisconsin › 101YP2500X
Pamela Nikodem, LPC, SAC-T
NPI 1952069866 · on the registry since 2021 · sole proprietor
Practice
- Address
- 812 S Fisk St Ste 103104
Green Bay, WI 54304 - Phone
- (920) 404-4638
- Organisation at this address
- Somali Transportation Services Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YA0400X
101YP2500X - Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin