# DR. CHRISTINE MARIE NICHOLSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1972613115
- **Gender:** F
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 3423 | WA | Yes |
| 103TC0700X | Clinical Psychologist | 253 | NM | — |
| 103TC0700X | Clinical Psychologist | 3423 | WA | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 3423 | WA | — |
| 103TS0200X | School Psychologist | 3423 | WA | — |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 12/08/2008

## 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 |