NPI 1043424807 DR. KELLY L NICHOLSON PSY.D. BLUFFTON SC. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Kelly L Nicholson - NPI: 1043424807

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. KELLY L NICHOLSON
NPI Number: 1043424807
Entity Type Code: Individual (1)
Gender: F
Credentials: PSY.D.
License Number: 3154
Business Practice Address: 1605 Moonstone Ln
Castle Rock, CO - 801087809
Business Phone Number: 7205886772
Business Fax Number:
Mailing Address: 22 Redbud Way,
BLUFFTON
State: SC
Postal Code: 299105605
Phone Number: 8432266690
Fax Number:
NPI Enumeration Date: 05/10/2007
NPI Last Update Date: 08/21/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 103TC0700X
License Number: 3154
Healthcare Provider Taxonomy:
(Secondary)
N
State: CO
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Psychologist
Taxonomy Specialization: Clinical
Taxonomy Definition:


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