Individual
MR. WILLIAM CHARLES NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
623 N WALNUT ST, HARRISON, AR 72601-3617
(870) 743-6225
(870) 743-6006
Mailing address
623 N WALNUT ST, HARRISON, AR 72601-3617
(870) 743-6225
(870) 743-6006
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00-12P
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141383019
—
AR
05
—
148984744
—
AR
01
—
5C757
BC B S GROUP
AR
01
—
5W126
BC BS
AR
Enumeration date
04/27/2006
Last updated
01/03/2011
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