Individual
DR. NICHELLE E. WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3804 E LANCASTER AVE, FORT WORTH, TX 76103-3523
(817) 744-8355
(817) 744-8356
Mailing address
PO BOX 200156, ARLINGTON, TX 76006-0156
(817) 744-8355
(817) 744-8356
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31156
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096940401
—
TX
Enumeration date
05/22/2007
Last updated
12/23/2011
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