Individual
PATRICK JAMES NICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1035 VERMONT ST, SUITE C, LAWRENCE, KS 66044-2921
(785) 764-2121
Mailing address
1035 VERMONT ST, SUITE C, LAWRENCE, KS 66044-2921
(785) 764-2121
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1910
KS
Other
Enumeration date
07/01/2009
Last updated
10/21/2010
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