Organization
TRACIE A NICOLL PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACIE A NICOLL PHD (CLINICAL PSYCHOLOGIST)
(719) 247-3561
Entity
Organization
Contact information
Practice address
245 E CHEYENNE MOUNTAIN BLVD, COLORADO SPRINGS, CO 80906-3719
(719) 247-3561
(719) 362-4439
Mailing address
245 E CHEYENNE MOUNTAIN BLVD, COLORADO SPRINGS, CO 80906-3719
(719) 232-5223
(719) 362-4439
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
12/09/2024
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