David L Nichols PHD

NPI 1063409852 - Psychologist - 103TC1900X

NPI Details
NPI 1063409852
Gender Male
Enumeration Date 10/05/2005
Last Updated 02/29/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
1244 WISCONSIN AVE
SUITE 303
RACINE WI, 53403-1987, US
Phone (262) 635-5520
Fax (262) 635-5530
Business Location
1244 WISCONSIN AVE
SUITE 303
RACINE WI, 53403-1987, US
Phone (262) 635-5520
Fax (262) 635-5530
Toxanomy
Taxonomy Code 103TC1900X
License State Wisconsin
License Number 943-057
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According to our database, David L Nichols PHD NPI is 1063409852, taxonomy code is 103TC1900X and license number is 943-057, license state is located at Wisconsin. David L Nichols PHD physically located at 1244 Wisconsin Ave, Racine WI, 53403-1987. NPI Number David L Nichols PHD has the Individual type.

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1063409852 NPI number is provided on an as is basis without warranty of any kind. 1063409852 is maintained by the National Plan & Provider Enumeration System. The contents of David L Nichols PHD are for informational purposes only.