Individual
DR. ERIC CHARLES NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
156 COLLEGE ST, BURLINGTON, VT 05401-8423
(802) 578-9855
Mailing address
156 COLLEGE ST, BURLINGTON, VT 05401-8423
(802) 578-9855
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
048-0000330
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005516
—
VT
Enumeration date
01/17/2007
Last updated
07/08/2007
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