Organization
FAMILY PSYCHOLOGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM CHARLES NICHOLS PSY.D. (DIRECTOR/CEO)
(870) 743-6225
Entity
Organization
Contact information
Practice address
623 N WALNUT ST, HARRISON, AR 72601-3617
(870) 743-6225
(870) 743-6006
Mailing address
623 N WALNUT ST, HARRISON, AR 72601-3617
(870) 743-6225
(870) 743-6006
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00-12P
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148984744
—
AR
01
—
5C757
BC/BS PROVIDER #
AR
Enumeration date
10/25/2006
Last updated
01/03/2011
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