# CHRISTINE M. NICHOLSON, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Christine M. Nicholson, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407035926
- **Authorized official:** DR. CHRISTINE MARIE NICHOLSON PH.D. (PRESIDENT)
- **Authorized official phone:** (360) 683-4845

## Contact information

- **Practice address:** 530B N 5TH AVE, SEQUIM, WA 98382-3079
- **Practice address phone:** (360) 683-4845
- **Practice address fax:** (425) 285-9344
- **Mailing address:** 11205 NE 117TH ST, KIRKLAND, WA 98034-7031
- **Mailing address phone:** (360) 683-4845
- **Mailing address fax:** (425) 285-0344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | PY00003423 | WA | Yes |

## Other

- **Enumeration date:** 11/01/2007
- **Last updated:** 12/08/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000N6325 | — | NM |