David L Nichols
Counseling Psychologist
8700 Durand Ave Ste 600
Sturtevant
, Wisconsin 53177-2096
David L Nichols
Counseling Psychologist
8700 Durand Ave Ste 600
Sturtevant
, Wisconsin 53177-2096
(262) 635-5530
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About
Features
Specialties
- Counseling Psychologist
Languages spoken
- English
Location
First Address
- David L Nichols
- 8700 Durand Ave Ste 600
- Sturtevant, WI
- Zip : 53177-2096
- Fax : (262) 635-5530
- Phone : (262) 635-5520
Second Address
- David L Nichols
- 8700 Durand Ave Ste 600
- Sturtevant, WI
- Zip : 53177-2096
- Fax : (262) 635-5530
- Phone : (262) 635-5520
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC1900X | Counseling Psychologist | 943-057 | WI |
National Provider Identifier
| NPI | 1063409852 |
|---|---|
| Provider Name | David L Nichols |
| First Address | Sturtevant, WI 53177-2096 |
| Second Address | Sturtevant, WI 53177-2096 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2005 |
| Last Update Date | 27/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 39027600 | (05) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.