Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KATHARINE MARIE NICODEMUS, PSYD
Active Sole ProprietorDR. KATHARINE MARIE NICODEMUS, PSYD is a Clinical Neuropsychologist healthcare provider located in LEWES, Delaware. NPI 1700921038 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · LEWES, DE
Registration Details
- NPI Number
- 1700921038
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 21, 2007 (19.475931601095 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
BL-0000656 (DE)BL-0000656 (DE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16529 COASTAL HWYSUITE 113LEWES, DE, 199583605Browse DE providers · Browse ZIP 19958
- Phone
- 3026451300
- Fax
- 3026451317
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
- Additional Specialty
- Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.