Individual
ALEXANDRA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
100 MEADOWCREEK DR STE 115, CORTE MADERA, CA 94925-1230
(415) 843-1523
Mailing address
PO BOX 2854, SANTA ROSA, CA 95405-0854
(707) 536-1856
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY32515
CA
Other
Enumeration date
05/17/2016
Last updated
06/30/2021
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