Individual
SAMANTHA LEE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10910 CLARKSVILLE PIKE, ELLICOTT CITY, MD 21042-6106
(443) 398-5826
Mailing address
1311 MAPLE AVE, HALETHORPE, MD 21227-2610
(443) 398-5826
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1001733427
MD
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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