Individual
MELANIE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5351 DELMAR BLVD, METROPOLITAN ST LOUIS PSYCHIATRIC CENTER, SAINT LOUIS, MO 63112-3146
(314) 877-0611
Mailing address
5351 DELMAR BLVD, METROPOLITAN ST LOUIS PSYCHIATRIC CENTER, SAINT LOUIS, MO 63112-3146
(314) 877-0611
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2013043060
MO
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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