| Doctor Name: | DR. KATHIE SUE NICHOLS |
| NPI Number: | 1013982651 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 1143 |
| Business Practice Address: | 3707 Sw 6th Ave Topeka, KS - 666062084 |
| Business Phone Number: | 7852704630 |
| Business Fax Number: | 7852704628 |
| Mailing Address: | 3707 Sw 6th Ave, TOPEKA |
| State: | KS |
| Postal Code: | 666062084 |
| Phone Number: | 7852704630 |
| Fax Number: | 7852704628 |
| NPI Enumeration Date: | 02/17/2006 |
| NPI Last Update Date: | 10/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1143 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |