Marti Leeann Nichols
Rehabilitation Psychologist Addiction Psychologist (Substance Use Disorder)
205 S Adair St
Pryor
, Oklahoma 74361-5201
Marti Leeann Nichols
Rehabilitation Psychologist Addiction Psychologist (Substance Use Disorder)
205 S Adair St
Pryor
, Oklahoma 74361-5201
(918) 864-0353
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Marti Leeann Nichols
- 308 S Whitaker St
- Pryor, OK
- Zip : 74361-3424
- Phone : (918) 864-0353
Second Address
- Marti Leeann Nichols
- 205 S Adair St
- Pryor, OK
- Zip : 74361-5201
- Phone : (918) 825-4872
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FAQs
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Is Marti Leeann Nichols a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | OK | |
| N | 103TR0400X | Rehabilitation Psychologist |
National Provider Identifier
| NPI | 1538495692 |
|---|---|
| Provider Name | Marti Leeann Nichols |
| First Address | Pryor, OK 74361-3424 |
| Second Address | Pryor, OK 74361-5201 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/10/2009 |
| Last Update Date | 22/10/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200375130A | (05) | OK |
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.