Healthcare Provider Details

I. General information

NPI: 1982515912
Provider Name (Legal Business Name): NIKKIE MILTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1280 E WASHINGTON AVE
REEDLEY CA
93654-3595
US

IV. Provider business mailing address

1937 SEQUOIA AVE
SANGER CA
93657-2055
US

V. Phone/Fax

Practice location:
  • Phone: 559-790-5948
  • Fax:
Mailing address:
  • Phone: 559-790-5948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberLEP4898
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: