Dr. Nicholas Thomas De Los Reyes
Clinical Psychologist
2051 Evergreen Ln Ste C
Show Low
, Arizona 85901-7928
Dr. Nicholas Thomas De Los Reyes
Clinical Psychologist
2051 Evergreen Ln Ste C
Show Low
, Arizona 85901-7928
(562) 547-0910
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Nicholas Thomas De Los Reyes
- Po Box 268
- Show Low, AZ
- Zip : 85902-0268
- Phone : (562) 547-0910
Second Address
- Dr. Nicholas Thomas De Los Reyes
- 2051 Evergreen Ln Ste C
- Show Low, AZ
- Zip : 85901-7928
- Phone : (562) 547-0910
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Is Dr. Nicholas Thomas De Los Reyes a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 005077 | AZ |
| Y | 103TC0700X | Clinical Psychologist | 005077 | AZ |
| N | 103G00000X | Clinical Psychologist | PSY9246 | CA |
| N | 103TC0700X | Clinical Psychologist | PSY9246 | CA |
National Provider Identifier
| NPI | 1003028721 |
|---|---|
| Provider Name | Dr. Nicholas Thomas De Los Reyes |
| First Address | Show Low, AZ 85902-0268 |
| Second Address | Show Low, AZ 85901-7928 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/05/2007 |
| Last Update Date | 26/10/2021 |
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.