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Individual
DR. CHRISTINE MARIE NICHOLSON
Active
Individual
DR. CHRISTINE MARIE NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3423
WA
103TC0700X
Clinical Psychologist
253
NM
103TC0700X
Clinical Psychologist
3423
WA
103TC2200X
Clinical Child & Adolescent Psychologist
3423
WA
103TS0200X
School Psychologist
3423
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000N6325
—
NM
01
—
00NM00N925
ANTHEM
NM
01
—
100140
VALUE OPTIONS
NM
01
—
22234
PRESBYTERIAN HEALTH
NM
01
—
NM00N925
BLUE CROSS, BLUE SHIELD
NM
Enumeration date
08/30/2006
Last updated
12/08/2008
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